Necrosis after TT. Should the yellow inside my wound be debride and removed? Or is it viable living fat? Using Santyl. (photos)

Dear Yvonnehendrix86,this type of wound is not uncommon after tummy tuck. It is usually caused by poor blood flow. I would suggest you to consult your plastic surgeon, follow your surgeon's instructions and keep your wound clean and covered. It can take few weeks or months for wound to fully heal. Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thanks for your inquiry,  sorry for your struggles,  the wound is clean and healing, it is really up to your surgeon how aggressive to be with sharp debridement, good luck.  

You do need some debridement of the yellow tissue and this an bee done a little at a time in the office. Santyl is a great debridement cream as well. Follow up with your surgeon closely.

Hi and welcome to our forum!
I am sorry that you are experiencing a complication of abdominoplasty. Tissue loss occurs infrequently but does add significantly to recovery time. It occurs if blood supply to the area was diminished or if infection developed. The risk is increased in smokers, obese patients, diabetics, and in patients with other circulatory disturbances. 
The vast majority will heal with a regimen of intensive local wound care. Various successful regimens are employed by different surgeons. Debridement of the yellow necrotic fat will accelerate the process and prevent secondary infection. Most will seal within 90 days. Larger defects may require temporary skin grafting. It will take a year for scars to mature. If revision is required, it can be performed after that time. 
It's a long road but most often ends with a satisfactory result. Be patient and follow your doctor's instructions.
Best wishes...

The yellow tissue will slowly need to be debrided until all is pink healthy granulating tissue. The yellow is fat, and skin will not grow over the fat. Please follow with your surgeon and/or wound care doctor closely. Once all is healed, your surgeon should be able to improve the scar.

I’m so sorry you sustained this severe complication. Healing will take a long time but a future surgery will make it much better. In the meantime you will require some debridement of the dead fat to speed up the progress. This is not emergent and would be done a little at a time in the office. Stick with your surgeon who no doubt has a great desire to help you get better.