How Should Red Crusty/Flaky Patch after TT be Treated? No drainage, no fever, no pain. (Photos)

I had a full TT & hysterectomy. 8 wks postop. A suture spit out & the red patch appeared. It has been growing. Very thick crusty skin forms, falls off & the process restarts. My GYN Dr. said apply Lotrimin Ultra. She said it was not an infection. I'm in no pain, no fever, no drainage. My plastic surgeon said to stop using the Lotrimin & apply heat. 2nd day of using heat no results yet. Patch is 2.5 in. long. Should I be concerned? What is this patch? Please help? Will it go away on it's own?

Doctor Answers 5

Posted abdominoplasty wounds are usually best treated by good hygiene and nothing else.

I don't see any signs of infection. In my own practice I would instruct you to keep the area cleaned with soap and water and apply an emollient to the skin. In the end however you should follow the advice of your plastic surgeon.

Atlanta Plastic Surgeon
4.8 out of 5 stars 36 reviews

Red patch

Thanks for your inquiry and pictures.  It is hard to advise without an exam.  I know it can be frustrating when you hear two different things from your doctors.  I suggest you ask them to communicate and come up with a treatment plan together, good luck.  

Vishnu Rumalla, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 200 reviews

How Should Red Crusty/Flaky Patch after TT be Treated? No drainage, no fever, no pain.

Thank you for sharing your question and photograph and I am sorry to hear of your recovery issues. Though nothing replaces an in-person examination I would recommend first stopping all products and clean the area with a gentle soap, being sure not to scrub.  Then apply a thick emollient, such as Aquaphor, over the incision to maintain the area moisturized and keep the area covered with a non-adherent dressing.  This patch could be the result of a contact dermatitis, allergic reaction to adhesives or bandages, friction to a compression garment, spitting suture, infection, or early eczema.  See your surgeon for a diagnosis and then treatment plan. 

Nelson Castillo, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 68 reviews

Dr. Derby Sang

Thank you for your question and your photos.

i highly recommend you to visit your surgeon and talk this over with him personally.

best of luck 

Derby Sang Caputo, MD
Dominican Republic Plastic Surgeon
5.0 out of 5 stars 84 reviews

Tummy Tuck/Abdominoplasty/Liposuction/Vaser High Definition Procedures/Tummy Tuck Revision

I appreciate your question.

I would recommend that you discuss this question with your surgeon as every surgeon has their own respective post op protocol for his/her patients.  Your surgeon is your best resource as he/she is most familiar with your medical history and how you are healing at this time.

The best way to assess and give true advice would be an in-person exam.

Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.

Best of luck!

Dr. Schwartz

Board Certified Plastic Surgeon


Jaime S. Schwartz, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 93 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.