Will Skin Necrosis After Tummy Tuck Heal on Its Own? (photo)

Question

I am 15 days post op tummy tuck and have skin necrosis. My dr. Said to let it heal on its own. I am concerned that it won't. I am not a smoker and in good health. What do I need to do?

Leo Lapuerta, MD · Answer

This isn't uncommon. Yes it will heal on it's own and it will just take time. You will need to have continuous follow up with your plastic surgeon.

Vincent N. Zubowicz, MD · Answer

From the picture I would guess that wound care by itself will probably lead resolution of the wound. This will be managed by your surgeon.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your photo.  It will heal slowly on its own if it does not become infected first. I would remove the unhealthy skin to produce a healthy wound that will heal quicker and have less risks of infection.

	Dr. ES

Vishnu Rumalla, MD · Answer

Thanks for your inquiry and picture. Your wound should heal over the next several weeks with meticulous woundcare. You should insist on seeing your surgeon regularly for he/she to personally monitoring your progress and ensure you are not developing greater problems.

Angela Champion, MD · Answer

As long as you keep it clean and it doesn't get infected, it will heal on it's own over time. Make sure you follow up with your surgeon regularly to keep an eye on it and follow your PS instructions closely. You may need a scar revision after all is said and done. ac

Ioannis Michael Ch. Salivaras, MD · Answer

It will eventually, even though it will take some time. Meanwhile you should visit your surgeon weekly for follow up and wound debridement if necessary. Just take care to have your wound cleaned in order not to get infected.... I minor scar revision might be needed afterwards. It is bothersome but eventually everything will be fine. I hope this was helpful enough....

Darryl J. Blinski, MD · Answer

Yes but weekly is not daily follow up with the surgeon. And aggressive wound care is recommended for you.

Jeffrey Zwiren, MD · Answer

An area of marginal necrosis in the middle is not uncommon. This is the area that is the furthest away from the blood supply and under the most tension. These areas generally take about 4 - 6 weeks to fully heal. Many times the scar will look just fine and other times you may require a relatively simple scar revision. Simple wound care is all that is required at this time.

Tom J. Pousti, MD · Answer

I am sorry to see the complication you are experiencing. These areas generally go on to heal once the nonviable areas “lift”. Be prepared for a period of time where the area looks “worse before it looks better”. You may even dressing changes for a period of time.

	 Most importantly, continue close follow-up with your plastic surgeon who will be in the best position to rule out additional problems such as infection etc.

	Do your best to stay emotionally even keeled and patient; most patients go on to be very pleased with the outcome of surgery performed despite these kinds of complications.

	 Best wishes.

Grady B. Core, MD · Answer

If you will be patient and trust your doctor , barring any infection, you will be amazed at how well this heals. You may require further antibiotics and debridement but, once healed, the scar revision , if necessary, will clean everything up. Hang in there. It will get better.

Will Skin Necrosis After Tummy Tuck Heal on Its Own? (photo)

Answers (14)

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