What can I expect to happen yet before I recover completely? (photos)
Doctor Answers 3
Necrosis after tummy tuck.
Until healing is complete (and that means the dead tissue will need to self-separate over weeks, or surgical debridement can accelerate the removal of the dead fat and skin), you will have drainage and a portal for infection. Debridement is the way to go faster and with less risk, but that is minor surgery. Letting things heal over time requires constant wound care, vigilance about infection, and prolonged dressings, odor, and hassle.
Surgical debridement requires more surgery and scarring, but you will have more scarring anyway--tissues died that were expected to survive and heal. Judicious additional surgery now can minimize the extra scarring and perhaps even get you back to your life more rapidly. Talk to your surgeon, and no smoking if that is an issue with you or those around you. Best wishes! Dr. Tholen
Tummy tuck necrosis & infection
Best of luck in your recovery.
Sincerely, James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgery
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science
Wound healing comlications
To answer your questions: Yes, the black scab will fall off eventually and leave raw tissue underneath. If left to heal alone it will take about 2 months,and leave an unsightly scar. Yes, my recommendation is to have your surgeon excise the non healed area and re suture it. This will give you the best result in terms of more rapid healing and acceptable scar. If you are a smoker---STOP -nicotine prevents good woundhealing
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