i need advice for wound dehiscence. (photo)

I am so very sorry that you are experiencing this. It looks and sounds as if you're being cared for properly. I don't think a wound care specialist is needed, but ask your surgeon as he or she knows your case best. For now, just be patient and let it heal. Best, Dr. Nazarian

I am so sorry to hear about your wound complications.  Based on the photos provided, the wounds appear to be clean and healthy.  This is a frustrating and scary experience for patients but with continued wound care and maintenance of your overall health (good nutrition, no smoking, etc), the wound will absolutely heal.  It can take a period of weeks to months but you eventually will see improvement as the wound contracts and re-epithelializes.  Unfortunately there isn't anything special you can do to prevent the rest from opening at this point.  Your plastic surgeon is certainly qualified to manage your wound care.  I would continue your care under his or her guidance provided you are still comfortable doing so. Hang in there and good luck!

I appreciate your question.

Continue to follow your plastic surgeon's instructions and keep the wound clean. Once the wound is closed and healed you can discuss a scar revision with your plastic surgeon.  In the mean time, be patient, keep wound clean and continue to follow your plastic surgeon's instructions.  This will need time to heal...



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

I am so sorry that you have experienced this.  It seems like a rather large dehiscence and the treatment can be a bit different.  I would prefer to wash it out and try to close it because it will take a rather long time to close and it will give a rather unappealing result.  Consult with a board certified plastic surgeon for proper recommendations.

The photograph demonstrates some nonviable fat in the base of the wound. All of the nonviable tissue needs to be removed in the remaining tissue needs to be healthy and a vascular sense. Secondary closure will hasten convalescence.

Thanks for your inquiry and pictures and sorry for your struggles.  I think you have an attentive plastic surgeon and happy to hear you are getting good care.  At this point, there are advanced strategies like a Wound VAC that could accelerate your healing, but would not necessarily change the final result and could add significant cost. As I have your audience, do not consider a revision for at least 6 months after it is healed, good luck.  

Hi, thank you for the question and photos... sorry for this, you should follow your surgeon indications, you can suggest him Hyper Oxigen therapy to improve the time of healing and PRP treatment too... 

Is sad to hear what happen to you, but is important to understand that there are many alternative for doing wound care and closing this wound. I will start advising the use of negative pressure therapy like the VAC, which is a suction device that estimulates the formaton of new tissue (granulation), removed excess fluid, promotes vascularity and once the wound improves, then it can get close. Ask your plastic surgeon if he is part of a "Wound Care center"

Wound breakdowns are a very common occurrence with many procedures.  Expect things to look worse before they turn the corner and start to get better.  Unfortunately, they always get larger before they start to contract.Sounds like you have the best wound care specialist around, namely, your Board Certified Plastic Surgeon.He sounds like he is doing a great job watching over this, and while there are many different things he can use to treat the wound, just be patient.  This will heal, it will just take some time.Best of Luck.  This will just take time

Sounds like you are receiving excellent care from your chosen PS. In my precut I offer PRP infusion therapy with Laser Red light treatments, though there is a cost to doing this I find the healing speeds up...