Day 19 after a tummy tuck. Is this Necrosis? What can I do? (photos)
Doctor Answers 7
It is necrosis but you will be ok
Hi,Yes, the black area looks like non-viable (necrotic) tissue. This area is the farthest from the blood supply and tends to be tight, leading to impaired blood flow and necrosis. For as scary as it can be to have a wound like this, you'll be amazed how well it will ultimately heal. For now, follow your surgeon's wound care instructions, which will include keeping it clean, and perhaps a debridement dressing like wet-to-dry dressings. If you surgeon takes this route and lets the wound heal in, it might be acceptable, or you might need a minor scar revision down the road when the tissue softens, Alternatively, she/he might take you back to the operating room to clean it up surgically and close it. Either are good techniques. Eat well, avoid first and second-hand cigarette smoke, and plan on many visits to your surgeon. In my experience, when patients take charge of their wounds, they tend to become experts and do a great job getthing through it. Let us know how you do.Sincerely,Dr. Weintraub
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