Tummy tuck black scab. Should I be worried? (Photo)

Question

iHad My Tummy Tuck 20 Days Ago && I Have This Black Nasty Scab iDont See My Doctor Till Next aWeek Should i. Be Worried

Himansu Shah, MD · Answer

Thank you for the question and photos. It appears that you have some skin necrosis which may improve with local wound care. This may take some time to heal and it is best to discuss with your board certified plastic surgeon to see how he or she likes to treat this. Good luck.

Raffy Karamanoukian, MD, FACS · Answer

Abdominoplasty scars can be quite complex, ranging from the simple hypertrophic scar to a multiplane inflamed keloid. Pigmentation, discoloration, chronic inflammation, scar visibility can all occur in the short term. We begin each treatment with combination therapy using Yellow broadband BBL, Vbeam, fractional erbium, intralesional IIT, and scar modulation. Start with a combination of Plato's Scar Serum massaged twice daily after one week of epithelialization followed by Luminase/Exfolase. Scar consultation and revision may be recommended.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Daniel Barrett, MD · Answer

Dear MiriamNCampa,based on your photos, it looks like skin necrosis. The probable cause is poor blood flow in that area. I would suggest you to consult with your plastic surgeon as you will probably need a necrectomy (removal of necrotic tissue). Your wound will probably heal longer than expected. Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery 
Member, Am. Society of Plastic Surgery

Jan Hochtritt, BSc, MD · Answer

Thank you very much for your question. It looks like the edge of the wound is slightly necrotic, that means that it did not receive enough oxygen. This is not uncommon  after a tummy tuck. In your case, luckily, it looks very superficial, so I am sure that it can be dealt with with proper wound care. The skin around the wound edge of the necrosis does not look infected , So from where I am, looking at the picture,  I would not worry. I will  however recommend for you to seek assistance of your plastic surgeon to  instruct you on how to take care of the wound. 
Have a wonderful day and greetings from the beautiful island of Jamaica

Neal Handel, MD · Answer

That black scab is an area where the skin has necrosed (died) but fortunately it is a relatively small area. It will eventually heal on its own but may leave a slightly wider scar that may benefit from a revision surgery after the area is completely healed. You should follow up with your surgeon.

Daniel Brown, MD, FACS · Answer

Thank you for your questions and photos.  Appears as if you have some minor wound breakdown which is not that unusual.  If you continue to be concerned, please call your surgeon so that you can be seen more soon than next week.  Best wishes!Dr Brown

Tania Medina de Garcia, MD · Answer

Hello dear!!It seems like you have a skin necrosis in that area. It will take a time to heal, but if you take care of it you can be calm. But it is very important to make everything your plastic surgeon recommend you.Good luck :)

Tummy tuck black scab. Should I be worried? (Photo)

Answers (7)

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