Open wound (draining) and compression garments? (Photo)

Question

I have had circumferential body lift on June 30 , after about two weeks of surgery I developed infection and fluids accumulation( seroma ) , the doctor had to have it open and cleared it out but I still have the open wound and it still draining , I also had an opening on my back that draining fluids , I haven't worn my compression garments since I had the open wound , I was woundering if I am supposed to wear it now or should I not ? Im almost 4 weeks post op

Luke J. Curtsinger, MD · Answer

I am sorry that you had a seroma.  If your doctor drained it and left the wound open, it will slowly close, but may drain for a few days to a few weeks? while the seroma pocket collapses.  The good news is that, if it is open and draining, the seroma pocket will not re-accumulate.  Compression may help stabilize the wound edges and minimize shear forces, shortening the wound healing time.    I would do this over a dressing that will absorb the fluid.   Confer with your PS, as each decision must be tailored to the individual.

J. Timothy Katzen, MD, FACS · Answer

Dear Love199,
Thank you for reaching out with concerns about managing complications, such as infection, drainage, and wound opening, following a 360 circumferential lower body lift.
Importance of Following Your Plastic Surgeon's Guidance:
The most crucial advice is to closely follow the treatment plan and recommendations of your plastic surgeon. Personalized care from your surgeon is vital for optimal healing, especially in complex situations like this.
Managing Infection and Drainage:
Infections should be treated with appropriate antibiotics.
Fluid collections may need drainage, either via aspiration with a needle or by opening the wound to allow fluid to escape.
Considerations for a Large Surgical Area:
Given the extensive nature of a lower body lift, encompassing the abdomen, hips, and buttocks, the healing process can be lengthy due to the large surface area involved.
Wound Care and Compression Garments:
Wet-to-dry dressings are typically suitable for such wounds.
The use of a compression garment depends on various factors, including your specific wound, the type of garment, and your surgeon’s advice. It may help in reducing swelling and supporting healing but must be carefully evaluated to avoid exacerbating the wound.
Healing and Scar Formation:
Wounds of this nature generally heal from the bottom up and then close inward, often resulting in scars that don't require revision.
Patience is key, as healing can be a prolonged process.
In conclusion, it's imperative to maintain regular follow-ups with your plastic surgeon and adhere to their specific instructions for wound care and management. Trust in their experience and expertise to guide you through this recovery phase.
Wishing you a smooth and steady healing process.
Sincerely,
Dr. Katzen

Daniel Barrett, MD · Answer

Dear Love1999,I'm sorry that you are having problems with your wound. Every plastic surgeon has his own postoperative protocol which he recommends to his patients. I would suggest you to discuss this with your plastic surgeon.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Open wound (draining) and compression garments? (Photo)

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Open wound (draining) and compression garments? (Photo)

Answers (3)

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Everything you need to know about Body Lift

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