Does this wound after abdominoplasty need help to close? (Photos)
Doctor Answers 3
Does this wound after abdominoplasty need help to close
It will close, albeit slowly. You might benefit from the edges being cleaned up and application of some topical antibiotic as well. In some cases, after it has healed, it might require a small scar revision to improve the appearance of the scar
Wound Breakdown after Tummy Tuck is a normal risk AND will do well in the long run!
Breakdown of the abdominoplasty incision is one of the most common risks of this surgery. The reason is that the dissection of the flap results in the blood supply being cut from 3 out of 4 sources. The belly flap is relying on the vessels coming from above and with the hole of being made for the belly button, the blood supply may be compromised from above as well. This is why there is this risk, now matter how well the doctor performed the surgery, it is dependent on your own blood supply. This means that the flap must develop a blood supply in order to heal. The new blood supply comes from new vessel growth and enlargement of the remaining vessels. It takes time for the new blood supply to re-establish, which is the reason the wound closure is taking longer than you have experienced from other wounds which have normal blood supply. What this means is that once the blood supply to the area has re-established, the wound will certainly close. This takes time. In the mean time, you need to do several things. You can help speed the process of healing by eating 1.5 times the normal amount of protein = 120 grams/day + 500mg via C three times/day. Your doctor can decried the dead tissue on the margins of the wound each week. You should do dressings 2x/day if you are using Silvadene Cream or 3x/day if you are using an antibiotic ointment (you Dr.' Choice) with a compress dressing several times a day which will mechanically help to deride the wound as well. Eventually, the tissue in the bed of the wound will become red and bumpy- this is granulation tissue. Once the granulation tissue is visible, you know that the blood supply has re-established and the wound will finally close. Because the granulation tissue is laden with contractile elements the wound will close down on it's own. At a year, the entire wound will have contracted so much that it may not be an issue at all. However, if it is unattractive, you can easily have the scar excised under straight local and closed and it will heal as a beautiful thin line.
Does this wound after abdominoplasty need help to close?
Most wound separations will heal without issue with time. The wound needs to be evaluated in person. It is always best to ask these questions of your chosen surgeon as recommendations may be different.
Kenneth Hughes, MD
Los Angeles, CA
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