I had a rare complication from neck liposuction and one of the incisions got infected then developed hypergranulation tissue according to my surgeon. I have been applying silver nitrate everyday as ordered , creating a deep hole, and taking it off the next day when discharge starts to ooze out. My question is if the yellow tissue in the hole is the unhealthy tissue I need to kill off and why even after 2 months of daily treatment it is not dying off for healthy tissue to grow in its place.
May 5, 2019
Answer: I progress-sync a silver nitrate and one healing It's not appropriate for any other doctor to change your postoperative protocols so you should check in with your doctor. you don't look like you have hyper granulation at all based on the picture. If you were my patient I would stop the silver nitrate. Personally for patients to develop granulomas or hyper granulation I prefer steroid injections over the use of silver nitrate. There are two reasons your world is not healing. Either the silver nitrate is blocking the granulation tissue from forming at all whi If you were my patient I would probably stop the silver nitrate at this point and change to wet to dry dressing's. Best, Mats Hagstrom MD
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May 5, 2019
Answer: I progress-sync a silver nitrate and one healing It's not appropriate for any other doctor to change your postoperative protocols so you should check in with your doctor. you don't look like you have hyper granulation at all based on the picture. If you were my patient I would stop the silver nitrate. Personally for patients to develop granulomas or hyper granulation I prefer steroid injections over the use of silver nitrate. There are two reasons your world is not healing. Either the silver nitrate is blocking the granulation tissue from forming at all whi If you were my patient I would probably stop the silver nitrate at this point and change to wet to dry dressing's. Best, Mats Hagstrom MD
Helpful 2 people found this helpful
May 5, 2019
Answer: Two Months Of Wound Care Not Working There are several things wrong with this scenario. First, there is no hypertrophic granulation tissue present in the wound in the picture. Secondly, If you originally had that, then 1 or 2 applications of silver nitrate by the physician would be enough together with other wound care. It is totally inappropriate for the patient to be using silver nitrate on the wound regularly. The result is a wound that just doesn't heal because all the cells that would heal it are continually being killed by the silver nitrate. (50 years ago professionals used dilute silver nitrate as an antibiotic solution on large burns, but not since. Silver is still presently used, but in medications like Silvadene as an antibiotic.) Thirdly, any infection or problem with healing of a liposuction access port, particularly in the neck where the incisions are about 1/8 inch long, is an extremely rare problem, especially among experts. I would start by discussing this with your surgeon and, if a changed approach does not improve the problem rapidly, I would seek another opinion.
Helpful 2 people found this helpful
May 5, 2019
Answer: Two Months Of Wound Care Not Working There are several things wrong with this scenario. First, there is no hypertrophic granulation tissue present in the wound in the picture. Secondly, If you originally had that, then 1 or 2 applications of silver nitrate by the physician would be enough together with other wound care. It is totally inappropriate for the patient to be using silver nitrate on the wound regularly. The result is a wound that just doesn't heal because all the cells that would heal it are continually being killed by the silver nitrate. (50 years ago professionals used dilute silver nitrate as an antibiotic solution on large burns, but not since. Silver is still presently used, but in medications like Silvadene as an antibiotic.) Thirdly, any infection or problem with healing of a liposuction access port, particularly in the neck where the incisions are about 1/8 inch long, is an extremely rare problem, especially among experts. I would start by discussing this with your surgeon and, if a changed approach does not improve the problem rapidly, I would seek another opinion.
Helpful 2 people found this helpful
