What are some good options to stimulate reepithiization after necrosis? I'm so close to being healed but it's stalled (Photo)

Hi! I had necrotic tissue after a tummy tuck where I had a wound vac for 4 weeks. I'm 5 weeks post wound vac and the wound has closed up a LOT but there's a small strip that hasn't reepithialized yet. I still see my PS 3x a week and she's been putting silver nitrate on it & dressing with medihoney. We both expected it to grow the skin over it by now as it's been 5 weeks since my wound vac had come off. Non-smoker and non-diabetic. Any other suggestions or things I can do to help finish this off?

Doctor Answers 4

What are some good options to stimulate reepithiization after necrosis? I'm so close to being healed but it's stalled

Thank you for your question and I am sorry to hear of your extensive necrosis after your tummy tuck.  Your tissue does appear well-granulated - the red tissue seen in your wound - which indicates good healthy healing. This bodes well for ultimate closure and only requires the reepithelialization to take place.  In most patients a moist healing environment is the best treatment, with the use of a vaseline impregnated gauze to the wound, or the use of a thick ointment such as Aquaphor.  I know waiting is difficult, but reepithelialization takes several weeks to heal, but you can help yourself with eating a diet rich in lean meats, fish, vegetables and fruits.  Hope this helps.


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What are some good options to stimulate reepithiization after necrosis? I'm so close to being healed but it's stalled

You seem to have made good progress with the wound vac. I find that silvadene cream slows the reepitheliazation process. You might discuss other alternatives with your surgeon.

Silver nitrate

I might try a silver nitrate stick.  Sometimes this works.  Speak to your plastic surgeon and do not do this yourself!

How to help wounds heal faster

Sorry to hear about your wound-healing problems.  The only other thing you could do is take good quality vitamins from a natural health food store (never buy them at a pharmacy or grocery store).  Take a good multivitamin with multiminerals, Vitamin C (Ester-C; 1,000 mg 3x per day with meals), Vitamin D (5,000 iu per day), and Vitamin K.  This will provide the building blocks to get your body to heal faster.  

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