Does This Tummy Tuck Look Normal After? (photo)

Question

I had a tummy tuck done on Dec. 19, 2013 and everything was looking good but this is what I woke up to today, is this normal or should I be worried?

Johan E. Brahme, MD · Answer

You have necrosis (tissue death) at your wound edge. there may be several causes for this, but you will in all likelihood need removal of the dead tissue and then treatment with dressing changes at home until the wound contracts and heals. this can take several months. after everything has settled down you probably will need a scar revision. Good Luck!

Raffy Karamanoukian, MD, FACS · Answer

Delayed wound healing should be addressed with your plastic surgeon. Our office specializes in revision tummy tuck surgery should you require scar revision in the future. Raffy Karamanoukian MD FACS

George C. Peck, Jr, MD · Answer

The wound appears to have broken down and a eschar (scab) has formed. The edges of the wound are red consistent with a cellulitis or infection. Wound management includes debridement of the eschar and all necrotic tissue under the eschar. A daily routine of dressing changes is initiated to keep the wound clean. The wound then heals from the bottom up. It may take a month or two for closure. Antibiotics may be necessary. The resulting scar will be a little larger and wider but a scar revision may help modify the final scar. Consult your surgeon asap.Best wishes

Louis DeLuca, MD · Answer

Thank you for your question and picture.  The area of yellow and darkened tissue is where the overlying skin has 'died' and the wound has separated throughout this area of poor healing.  You should absolutely contact your plastic surgeon so that he/she may evaluate your wound and guide you through the healing process.Most commonly, the treatment of this wound initially involves the removal of any non-living tissue.  The remaining healthy tissue is then allowed to heal with daily dressing changes. Discuss the long term results of this wound healing issue with your plastic surgeon.  Most likely the scar in the affected area will heal wider and can be fixed when adequate healing is complete

Michael S. Hopkins, MD (retired) · Answer

There appears to be some tissue necrosis (dead skin and fat) along the edge of the incision.  There could be infection, but the appearance is more consistent with necrosis.  You do not need to be alarmed.  This is not a rare event and it can be treated easily with local wound care.  But it does need to be evaluated by your plastic surgeon as soon as possible.

Robert E. Zaworski, MD (retired) · Answer

This is not normal.  See your Plastic Surgeon as soon as possible.  You have a possible infection,a some of the tissue may have died.  Your plastic surgeon will guide you through the healing process.

Does This Tummy Tuck Look Normal After? (photo)

Answers (6)

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