I had to stop wearing the compression garment and binder at 10 days po because I had issues with lack of blood supply reaching the T middle of my scar and necrosis occuring. I now have a open wound which I am doing the wet/dry packing and my PS instructed me to not wear the binder any longer. I am very upset and worried that now my final results are going to be ruined for my tummy tuck and the lipo on the flanks since I cannot keep the area compressed with my binder and/or compression garment.
October 23, 2015
Answer: Minimal consequence At this stage, treating your wound and following your surgeons guidance is more important. In my practice, I see no reason why you can not continue with at least the binder. It will help you keep the dressing in place.Ultimately, it will make little difference in the final outcome.Best Wishes,Nana Mizuguchi
Helpful
October 23, 2015
Answer: Minimal consequence At this stage, treating your wound and following your surgeons guidance is more important. In my practice, I see no reason why you can not continue with at least the binder. It will help you keep the dressing in place.Ultimately, it will make little difference in the final outcome.Best Wishes,Nana Mizuguchi
Helpful
July 22, 2016
Answer: Use of abdominal binders with tummy tuck and liposuction The purpose of an abdominal binder is to control swelling and bruising. If the binder is placed too tight this can cause inadequate blood flow to the abdominal skin after tummy tuck. If this is the case the binder should be removed. When skin is struggling with enough circulation after a tummy tuck placing a binder will diminish the blood flow to the area of the skin just below the belly button. If there are wound healing issues the blood flow must be stable before a binder is reapplied. Of course there may be more swelling or bruising in that case but the swelling will go away with time. Its better to have the wound heal first than to worsen the situation by compromising blood flow. Often when binders are placed right after a tummy tuck many patients are not paying attention to how smooth the binder is fitted and the binder can buckle or fold on itself. This creates a tourniquet effect on the lower abdominal skin and reduces adequate blood flow to the skin flap. The most distal part of the skin elevated from the tummy tuck can experience reduced blood flow causing the skin to die. I often do not put a binder on until 5-7 days when I see the blood flow to every part of the tummy tuck is good then I will use a binder to control swelling. This way I see very few patient with compromised blood flow to the abdominal skin.
Helpful 2 people found this helpful
July 22, 2016
Answer: Use of abdominal binders with tummy tuck and liposuction The purpose of an abdominal binder is to control swelling and bruising. If the binder is placed too tight this can cause inadequate blood flow to the abdominal skin after tummy tuck. If this is the case the binder should be removed. When skin is struggling with enough circulation after a tummy tuck placing a binder will diminish the blood flow to the area of the skin just below the belly button. If there are wound healing issues the blood flow must be stable before a binder is reapplied. Of course there may be more swelling or bruising in that case but the swelling will go away with time. Its better to have the wound heal first than to worsen the situation by compromising blood flow. Often when binders are placed right after a tummy tuck many patients are not paying attention to how smooth the binder is fitted and the binder can buckle or fold on itself. This creates a tourniquet effect on the lower abdominal skin and reduces adequate blood flow to the skin flap. The most distal part of the skin elevated from the tummy tuck can experience reduced blood flow causing the skin to die. I often do not put a binder on until 5-7 days when I see the blood flow to every part of the tummy tuck is good then I will use a binder to control swelling. This way I see very few patient with compromised blood flow to the abdominal skin.
Helpful 2 people found this helpful
