Sorry to hear you are having some healing issues, but it is not that uncommon for some areas in the abdominoplasty incision to experience delayed healing. This is usually due to either blood supply compromise to the skin edge (as a function of having tissue separated and removed during surgery), or tension on the closure, or both. Wet-to-dry gauze dressings are a tried-and-true way of helping wounds clean up and close; the gauze should be the woven kind and be unfurled to contact the surface texture of the wound so that when it is removed, it cleans the wound and removes bacteria and particulate sloughing tissues that need to come off for the healthy tissue to fill in the space. Other options for larger wounds include negative pressure wound VAC devices. Be sure to follow your surgeon's instructions. If there is evidence of actual infection, your surgeon would need to put you on antibiotics briefly but once the wound is starting to fill in and looks clean, wet-to-dry or other topical wound care options will usually get the wound to close up. Later, if the scar is wide where the open area was, it can often be easily revised under local anesthesia or improved with laser treatment.
