Do I Have Necrosis?! My Incision is Not Normal I Know It. (photo)

The small black areas along the incision line are areas where oxygenation is subpar. Just so you are prepared, sometimes the incision lines may look worse before they look better. In other words, in the next few weeks you may experience some drainage and/or  superficial separation along these areas as well. Keep an eye on the areas of redness and drainage: make sure you let your plastic surgeon know if the redness and/or drainage increases.

 Otherwise, it is likely that you will go on to heal without long-term sequelae.

 Best wishes.

The area that is dark black, most likely is full thickness skin necrosis with possible deeper tissue involvement. Avoid any direct pressure over these areas with compression garment and minimize tension across the incision. Check with your PS, may apply antibiotic ointment (e.g Neosporin, Bacitracin or triple, chose one that you have not had a history of allergy) 2-3 times a day. Keep the area clean at all times (avoid any contamination). Some of the areas of your wound would improve with time but the area with full thickness necrosis may have drainage and will eventually demarcate itself; the dead tissue will have to be removed by your PS followed by local wound care. It is important to follow up closely with your PS and follow his/her instructions. Wish yuo luck.

I would say you have spotty areas of skin necrosis.  The level of necrosis will define itself with time.  If you have necrosis do not place the abdominal skin under a lot of pressure such as with a tight binder.  The rest of the incision appears to be healing well but the sewing technique is really sloppy.