Second Opinion. Surgeon Said to Apply Neosporin Twice a Day? (photo)

Superficial breakdown of an abdominoplasty wound can occur and is treated best by debriding the nonviable tissue and keeping it clean. A topical antibiotic ointment or cream may be used.  No oral antibiotic agents are required. It takes time but will heal.

Good afternoon!

It appears that you had a bit of superficial wound breakdown after a tummy tuck.  These things usually resolve themselves with time and wound care.  Neosporin is one choice of antibiotic that can be sued, but I would consult with your doctor if that redness around your wound persists or gets worse.  Many people actually get a bit of a skin reaction to neosporin and you should let your PS inspect closely to be sure that is the right cream for you.

 

I hope this helps

Wound healing problems three weeks our can be a result of delayed healing, fat necrosis, seroma or infection. If you develop a fever, increased redness, foul smelling drainage or feeling ill, infection is more likely.  Neosporin is appropriate in the short term but can cause rashes and increased redness with prolonged use. Good luck on your recovery. All the best.

Topical antibiotic ointment and good wound care should get this to resolve.  Neosporin however can cause rashes itself so if your redness worsens, consider using some other product like Polysporin or Bacitracin.  And if the redness spreads considerably, you should let your doctor know for further management.

Actually on a site such as this, none can examine and give treatment recommendations based on a photograph. We can say that things don't look well and if you have lost confidence in your surgeon, get an opinion from another doctor in your area.

Since we are NOT your treating surgeon very hard to contradict the instructions you were given. In MY PRIVATE patients if they have a wound edge dehiscence I recommend for them Dakins solution or beta dine solution 3x a day. With wet to dry sterile saline soaked dressings for mechanical debridement. Best to have daily contact with your surgeon. 

This narrow area of wound breakdown is best treated without surgery but with wound care. Neosporin is an appropriate agent.  I do not see a need for other antibiotics at this time. But if you get fevers, increasing wound inflammation or drainage, a call back to your surgeon is best.