The open wound behind your ear has not improved in one day. This wound
will take several weeks to close. You should continue your present
wound care program of carefully cleaning with soap and water. You
should then dry the wound thoroughly and apply the Bactroban
antibiotic ointment. This should be done once or twice per day and
should be covered with a band aid to keep the wound from drying out. Do
not touch the wound with your fingers unless you have on exam gloves.
The oral antibiotics should be continued if your physician feels that it
is necessary. He should determine this by examining the wound on a
Thank you for your question, longhairedlady. Please consult with the board certified facial plastic surgeon who performed your surgery for more detailed cleaning guidelines as you will not be able to verify if your current cleaning procedures are making any improvements for several weeks.
It looks from the photographs that you may be experiencing some delayed wound healing behind your ear. That is not uncommon and may be due to some compromise in blood flow. Make sure you do not smoke, continue your doctor's recommendations and keep the area clean. It can take several weeks or more to heal but in that area, it should not be visible and should not negatively impact your result.
Since you love your result so far and you do have a good relationship with your Doctor, I recommend that you return to him for further instructions in wound care. This looks like a dehiscence of the incision behind your ear and it should heal well with time. An absorptive wound healing sponge such as Polymem (made by 3M) can be helpful in these circumstances. Good luck.
Appears you need better wound care! Please seek detailed instructions to wound care>>>>>>>>>>>>>>>
It appears that you are having poor healing due to poor blood flow to the edge of the wound. The unhealthy tissue and scab will need to be removed from the wound and caraeful wound care will be needed. I would advise having your surgeon look at the area and manage this for you. Best regards
Thank you for your question and pics. I'm sorry to hear about your complication; with time your body will heal. It appears that you have some exudate and minimal tissue necrosis within the wound. In my practice, if I were to see this, I would debride it at the bedside until I see healthy viable tissue. This will then allow timely progression of the wound healing, whether I decide to let it heal on its own or to re-approximate the wound edges. Be sure to visit your surgeon frequently and get his or her direct input regarding this problem. Good luck!
If left alone, this area would most likely eventually heal. However, that yellow-brown tissue is a form of scab. It's an area where the subcutaneous tissues have been exposed to air, desiccated, and are now acting like a scab. Without cleaning up these tissues, this area will take 6-10 weeks to heal. As well, the gap forming in that area means additional healing time.
I would strongly recommend revisiting your surgeon, not his/her nurse, and having that area "debrided ". This can mean scraping it with a curet, trimming that yellow scab with scissors, or excising it with a knife. Personally, I would follow this up with a few stitches to tack the ear back down to speed the healing process and to minimize any cosmetic concerns.
Best of luck!
Board-Certified Plastic Surgeon
Newtown Square/Philadelphia, PA