I started developing this 2 weeks ago (photo with lots of scabbing and white cheesy center) my dr just says to use soap and water to clean it and cover it with a gauze and it will get better. I’ve also been being seen at a wound care center where I have been told to apply Manuka honey in it for it to heal. My question is: about how long will this take to heal, and can I swim with this?? Thank u so much for the help.
Answer: Healing After Skin Necrosis It appears you have necrosis (dead tissue) after undergoing a tummy tuck. This can occur due to compromised blood flow which may be a result of aggressive technique, combination with liposuction, or if you are a smoker. Fortunately, this should heal with local wound care and debridement. However it will take time and the scars will be wider and deeper in these areas. For wounds this deep I will frequently have my patients use Silvadene, which is a topical antibacterial treatment. There may be many methods which work, though. Continue follow up with your surgeon to ensure the wounds are healing appropriately.
Helpful 1 person found this helpful
Answer: Healing After Skin Necrosis It appears you have necrosis (dead tissue) after undergoing a tummy tuck. This can occur due to compromised blood flow which may be a result of aggressive technique, combination with liposuction, or if you are a smoker. Fortunately, this should heal with local wound care and debridement. However it will take time and the scars will be wider and deeper in these areas. For wounds this deep I will frequently have my patients use Silvadene, which is a topical antibacterial treatment. There may be many methods which work, though. Continue follow up with your surgeon to ensure the wounds are healing appropriately.
Helpful 1 person found this helpful
August 29, 2018
Answer: Your Surgeon Should be Your Wound Center Hello,Your wound needs a surgeons attention to remove the necrotic debris and fibrinous exudate that the honey can't. If your surgeon isn't an ABPS certified/ASAPS member surgeon, then you should find help from one that is. Best of luck!
Helpful 1 person found this helpful
August 29, 2018
Answer: Your Surgeon Should be Your Wound Center Hello,Your wound needs a surgeons attention to remove the necrotic debris and fibrinous exudate that the honey can't. If your surgeon isn't an ABPS certified/ASAPS member surgeon, then you should find help from one that is. Best of luck!
Helpful 1 person found this helpful
August 29, 2018
Answer: How should I be looking after this wound after tummy tuck? I am sorry to hear about the complication you are experiencing. These types of complications can be quite (understandably) distressing to patients; unfortunately, sometimes the wounds do look worse before they begin to look better. The wounds tend to occur where incision lines come together (where there is the greatest tension and least blood supply). Close follow up with your plastic surgeon will be very important; sometimes removal of a exposed suture and/or removal of any unhealthy tissue will expedite healing. There may be different treatment modalities recommended; best to "stick with" your plastic surgeons recommendations. Generally, this will involve application of some type of sterile dressing ( in my practice I use a non-stick dressing covered by a sterile dressing once a wounded is clean). Ask your plastic surgeon if you are ready for this type of dressing regimen; it tends to be less painful than the direct application of gauze. In my practice, I would advise you not to begin swimming until the wound has closed. You should have peace of mind that these types of wound healing problems generally go on to heal over the course of the next several weeks, often without long-term sequelae. Also important to concentrate on a healthy diet, including good protein source. Sometimes (depending on the width of the open wound and the appearance of the scar in the longer term), scar revision surgery may be helpful down the line. Best wishes.
Helpful
August 29, 2018
Answer: How should I be looking after this wound after tummy tuck? I am sorry to hear about the complication you are experiencing. These types of complications can be quite (understandably) distressing to patients; unfortunately, sometimes the wounds do look worse before they begin to look better. The wounds tend to occur where incision lines come together (where there is the greatest tension and least blood supply). Close follow up with your plastic surgeon will be very important; sometimes removal of a exposed suture and/or removal of any unhealthy tissue will expedite healing. There may be different treatment modalities recommended; best to "stick with" your plastic surgeons recommendations. Generally, this will involve application of some type of sterile dressing ( in my practice I use a non-stick dressing covered by a sterile dressing once a wounded is clean). Ask your plastic surgeon if you are ready for this type of dressing regimen; it tends to be less painful than the direct application of gauze. In my practice, I would advise you not to begin swimming until the wound has closed. You should have peace of mind that these types of wound healing problems generally go on to heal over the course of the next several weeks, often without long-term sequelae. Also important to concentrate on a healthy diet, including good protein source. Sometimes (depending on the width of the open wound and the appearance of the scar in the longer term), scar revision surgery may be helpful down the line. Best wishes.
Helpful
August 29, 2018
Answer: Tummy tuck incision Dear sweetmimi95,this type of wound is not uncommon after tummy tuck. It is usually caused by poor blood flow. I would suggest you to consult your plastic surgeon, follow your surgeon's instructions and keep your wound clean and covered. It can take few weeks or months for wound to fully heal. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful
August 29, 2018
Answer: Tummy tuck incision Dear sweetmimi95,this type of wound is not uncommon after tummy tuck. It is usually caused by poor blood flow. I would suggest you to consult your plastic surgeon, follow your surgeon's instructions and keep your wound clean and covered. It can take few weeks or months for wound to fully heal. Daniel Barrett, MD Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
Helpful
Answer: Managing wound necrosis Your surgeon should be managing your wound care, and debriding (cutting out) the necrotic tissue periodically. Whatever is used as topical treatment is secondary to this. While wound care centers have their place, in this type of post-surgical case their wound care (typically by nurses or physicians who are not surgeons) often involves a lot of insignificant dressing changes with expensive dressings, various topical balms and potions, maybe some worthless tissue oxygen measurements, all billed to you or your insurance. This will continue until the wound heals or until you or your insurance company stops paying. One thing I do think that helps (begun early, when the wound is first looking bad) is hyperbaric oxygen treatments. But again, the most important things to get you healed quickly is close follow-up and debridements by your surgeon.
Helpful 1 person found this helpful
Answer: Managing wound necrosis Your surgeon should be managing your wound care, and debriding (cutting out) the necrotic tissue periodically. Whatever is used as topical treatment is secondary to this. While wound care centers have their place, in this type of post-surgical case their wound care (typically by nurses or physicians who are not surgeons) often involves a lot of insignificant dressing changes with expensive dressings, various topical balms and potions, maybe some worthless tissue oxygen measurements, all billed to you or your insurance. This will continue until the wound heals or until you or your insurance company stops paying. One thing I do think that helps (begun early, when the wound is first looking bad) is hyperbaric oxygen treatments. But again, the most important things to get you healed quickly is close follow-up and debridements by your surgeon.
Helpful 1 person found this helpful