What Can Fix This This Hole in my Incision? I've Tried Many Options, Nothing Is Working. (photo)

Hello Waygook,

I am sorry you are having this problem.  I can't be certain from your description of what you've been through, but looking at the photo it seems that your doctor has been trying to close an open wound with very heavy sutures under tension.  This is not conducive to either effective healing or an improved scar; it also puts you at risk for further tissue injury and even infection.  At this point, all sutures need to be removed, and any tissue that does not appear healthy needs to be removed.  A regimen of saline soaked dressings needs to commence to keep the wound clean, lower bacteria colonization, and encourage rapid healing. This is not a job for sutures, staples, glue, or any other closure device.  Your body will have to do the job on its own, which might take a few weeks to a month. 

I would seek out another plastic surgeon, one who is well respected and highly experienced in all types of plastic and reconstructive surgery.

Best of luck.

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Best,
Dr. Karamanoukian
Realself100 Surgeon

This suggestive of an underlying infection or process that has not resolved.  If you were not operated on by a board certified plastic surgeon, then I recommend that you see one.  Wound cultures should have been taken.  You may need for the wound to be re-opened and explored for infection.  I would like to know whether you have been on antibiotics and the result of any wound culture.  You may need to see an infectious disease specialist if this does not resolve.  The inability of skin to close is indicative of an underlying process rather than simply weakness of the skin.