Hi, RStubb.Wound dehiscence is not an uncommon complication following a tummy tuck. Most often, especially if managed well, the final outcome is not affected or is minimally affected.The dehiscence occurs when there is an area that does not have adequate circulation. The yellowish-white, cheesy tissue present in your photos is fibrin, and basically represents a layer of dead tissue. The fibrin and other necrotic tissue will need to come out (your body is already trying to take care of that; wound care and dressings, usually packing, will take care of the rest; sometimes surgical debridement is needed). Then your body will begin to heal from the inside-out, filling in the cavity with a pink tissue. As the healing process proceeds, the wound will begin to contract and get smaller and smaller. Often times, the final scar is only minimally thicker/bigger in this area. Sometimes, the wound edges may begin to roll, or the top is healing faster than the bottom, and a dimple can form instead -- this is usually easily corrected with excision of the dimple and recluse down the line.The frustrating part of a wound dehiscence, is that beside being unsightly and sometimes odorous, it is fairly slow to heal. But with good wound care and close follow-up with your surgeon, you will see steady and positive progress.Best of luck! And heal rapidly :)
