Unhealed necrosis at Tummy Tuck incision. Is it going to continue to get larger? (photo)

The area of your skin lost is the area that is furthest away
from the blood supply of the skin after a tummy tuck. It is also the area that has the most skin
tension. Continue your present treatment
and the area should continue to heal.
The final scar will shrink over time and can be revised if necessary.

Uncommon and unfortunate, tissue necrosis generally heals on its own. It may need some surgical debridement by your plastic surgeon (although it does not appear to need any now). Best of luck.

Dear FNP,Silvadine is a good choice for the wound that you have photographed. It appears that you have been doing a great job with your dressing changes as there is good granulation tissue (beefy red tissue at the base of the wound) in the later photos. It will start to heal quickly now that the granulation tissue is present. Once it's completely healed and some time has passed it can be revised if need be with likely a nice outcome. Close follow up with your plastic surgeon is key so he/she can evaluate your progress.

Hello and thank you for your question! By your pictures, you appear to have excellent granulation tissue; so, your wound should eventually get smaller and smaller, just be patient and keep doing what you are doing with wound care. And follow up with your surgeon regularly. Best of luck!

but it will heal and the scar will be smaller then what you are imagining. Your results look great and when this is healed, then you and your surgeon can decide together if a revision will make a positive change in your outcome. Continue with your wound care and your surgeon will follow you through this journey.

Dear FNP,Thank you for the great photos. The area that you have shown is about what I would expect from the amount of necrosis that you have shown initially. It appears clean and with good healing tissue. I think you will be fine and the wound will heal well on its own. Your plastic surgeon will be a great resource during this process to answer questions in terms of what to expect.All the best,Dr. Remus Repta

When tissue necrosis occurs along an incision line, it takes four to six weeks for the wound to evolve and die back to healthy tissue. Thus it always gets worse before it gets better. Then granulation tissue will develop in the depth of the wound which will gradually fill it up and slowly begin to close it down. Once it reaches this point it will move more rapidly towards eventual complete healing. This is a process that will likely take a full 3 months to complete. The use of Silvadene is the best thing to do and make sure you freely put a lot into the wound twice a day. While at some point when the wound is a lot healthier, closure can be done but most patients at that point usually let it complete its natural healing process for fear of causing the exact same problem.

Take a deep breath, I believe you will have a fantastic result in the long run. This is an inconvienent problem, but will heal. Many times what you feel is helping, may be hurting wound healing. No peroxide, just soap and water. Bacitracin or neosporin to the would will help the healing. The bloood supply at the edges of a tummy tuck can sometimes be poor, it is the blood supply that heals the wound. Over the next few weeks blood supply will improve and the wound will close. Right now I can see in the photos healthy granulation tissue which means healing is progressing. Once healed, if the scar is a little thick in this area, your surgeon can do a scar revision and that should be the end of itEric Weiss MD

This area will heal. It will leave a scar that can be revised in the future once the soft tissue has recovered. There is not much more you can do to speed up the process.

Although the type of wound healing problem that you are experiencing can be frustrating, you should have peace of mind that this area will go on to heal over the course of the next few weeks. Sometimes, at four weeks postoperatively, the area can look "worse before it looks better".I do not believe that there is any "magic formula" that will expedite the wound healing. This is one of the issues that simply requires time and patience.Continue to follow up with your plastic surgeon. With the exception of the potential need for scar revision of the area, you should have a very nice outcome in the long term.Best wishes.