I developed necrosis after Tummy Tuck 2 weeks ago. What should I expect this to look like in the next week or so? (photo)

looks like you have flap necrosis that will need cleaning daily with dove soap and water with application of Silvadene. Looks like your fascia will be exposed, it will take about 6 months to heal with daily dressing changes and washing. If you smoke you need to stop ASAP, the flap necrosis we see in your photos is more common in smokers and very heavy set patients. All smoke is will slow healing and can contribute to necrosis. Hang in there, keep in touch with your plastic surgeon and good luck.

Tissue necrosis after a tummy tuck can occur especially in smokers and overweight patients. Most surgeons will wait a period of time to let the tissue clearly demarcate, that is, allow enough time to know what is going to live and what is definitely necrotic. At that point, you will likely need to have a debridement with reclosure if possible, or placement of a wound vac to help the tissue heal faster.

I'm sorry that you are experiencing this complication after your tummy tuck.  Please follow your surgeon's instructions for your wound care and continue with close follow ups with your surgeon.  It can take a a couple of months, but through careful care, it should heal up.  You may need a scar revision after you are healed but your focus should be on healing at this time.  Good luck. ac

Thank you for sharing
your photo and question. In your particular situation, you should contact
your plastic surgeon regarding directly any post-operative instructions. They have
all the pertinent information regarding your health, and will be able to
instruct you further with treatment. I wish you all the best in your
recovery! 

Thanks for your question and series of photos. The problem looks apparent on the photo from 3/21, which shows the area of inadequate blood supply, and this has progressed as you can see in the photos to the current appearance.It appears that all the darkened tissue is necrotic.  When if is removed, presumably by your surgeon, you will see a defect of about that size down to your abdominal muscles. Often these are allowed to heal on their own, but this may be large enough that some intervention will help speed up the process. In answer to your question as to whether or not it will get worse before it gets better, I think all the damage is declared, and no more tissue loss will occur. The appearance after the non-viable tissue is removed may look worse to you than it does now, but it will actually be better. You and your surgeon will have a ways to go before you are healed. Stick with it, all the best. 

Is is difficult to predict the progression of your recovery from a photo.  You will need wound care and debridement and ultimate scar revision.  This will take weeks to months.  You need close follow up with your surgeon for wound care to ensure the best outcome.  Good nutrition, no smoking (if you do so) are also important.  Donald R. Nunn MD  Atlanta Plastic Surgeon.