Can I use steri strip closure to help a wound close up after separation? Almost 4 week post op brachioplasty (photo)

Question

Can I use steristrip wound closure to help the wound close? I’m afraid it will heal as is and the scar will be that much wider... it keeps seperating. Is there anything I can do t this point to close it up and prevent it from healing that way.

Ira H. Rex III, MD · Answer

From your photographs, it seems like a Steri-Strips would not be helpful. You need to see your plastic surgeon for an evaluation and a plan on how to take care of these wounds. Your incisions will probably heal okay over time, and at some point, if there is excessive scarring, a scar revision might be considered.

Stephen T. Greenberg, MD, FACS · Answer

Hi Valeria, thanks for your question and photos.  I do not recommend putting anything on your wound unless advised by your plastic surgeon.  I recommend keeping the wound clean and showering with some type of antibacterial soap to prevent infection. Unfortunately, it does take some time for these incisions to heal.  I suggest continuing to follow up with your doctor! Best of luck!

J. Timothy Katzen, MD, FACS · Answer

Hello VALERAROMERO212,
Thank you for reaching out with your question about using Steri-Strips for wound closure post-arm lift, and for providing your history and photos. It's important to address wound separation carefully to ensure proper healing.
Consult Your Plastic Surgeon: Your first step should be to consult with your plastic surgeon. They are best positioned to provide guidance as they are familiar with the specifics of your surgery and your healing progress. It's crucial for them to be aware of any issues you're experiencing postoperatively.
Steri-Strip Caution: In your situation, the use of Steri-Strips might not be advisable. Steri-Strips, or any form of adhesive closure, can sometimes cause blistering and worsen scarring, particularly in patients who have experienced significant weight loss. The skin in these cases can be more fragile and prone to irritation.
Topical Antibiotics: Instead of Steri-Strips, the use of topical antibiotics such as bacitracin or neosporin can be beneficial. These can help prevent infection in the open wound areas.
Secondary Healing: Often, wounds like these are left to heal by secondary intention, meaning they are allowed to close up naturally over time. This process can be slower but is sometimes necessary to ensure better long-term healing and scarring.
Future Scar Management: Once the wounds have fully healed, they can be reassessed for any needed scar revision. Options might include steroid injections, 5-fluorouracil (5FU) injections, dermabrasion, microneedling, Morpheus8, laser treatments, or surgical revision, depending on the nature of the scars.
Wound Care: Keeping the area clean with gentle soap and water is important. Avoid submerging the wound in water until your surgeon advises it is safe to do so.
Remember, online platforms can offer general suggestions, but they cannot replace personalized medical advice from your surgeon. Make sure to follow up closely with your surgeon for tailored care and to ensure your wounds are healing appropriately.
I hope this guidance helps as you navigate through your postoperative recovery. Wishing you a smooth and speedy healing process.
Sincerely,
Dr. Katzen

Jeffrey Ridha, MD · Answer

Unfortunately, Steri-Strips will likely not be of much help given the photos that you have sent. I would recommend close follow up with your board-certified plastic surgeon, as these wounds require good local won’t care to allow for eventual healing. Once the scars have completely healed, further improvement may be possible. Best wishes.

Massiel Guzmán Reyes, MD · Answer

Hello and thank you for your question. I would not recommend doing anything until you see your PS, he/she will be in the best position to help you with your concerns! Best of luck!

Andrea Marando, MD · Answer

Dear Valeria, thank you for your photos. I am sorry to hear that you are experiencing some problems with your brachioplasty. My advice, considering the area and tension on the edges which is normal and expected in this kind of surgery, is to contact your surgeon, to avoid further problems and possibly worsening of the situation. All the best.Andrea Marando, Plastic and Cosmetic SurgeonManchester and London , UK

Aldo Guerra, MD · Answer

I’m sorry about the wound separation. I would suggest you seek professional help and see your plastic surgeon or another physician if they’re not available. Consider nutritional supplement such as vitamin A, C, D, and Zinc. Best wishes, Dr. Aldo

Robert Drielsma, MBBS, BSc, FRACS · Answer

It can take some time for these incision to heal.  You should follow your surgeons post operative guidelines.

Gary L. Ross, MBChB, FRCS · Answer

You need advice from you PS on wound care and regular dressings and I would not place steer strips on the wound. It will heal with appropriate wound care.

Carrie Houssock, MD · Answer

Hi there!  Congratulations on your surgery.  Unfortunately one of the most common issues after an arm lift is the wound healing.  Very often this scar can be wide or even open if it is placed under any tension during the surgery.  At this point, it is best to let the wound heal as is.  Keep it clean and dry and covered.  Once it heals, you may require a revision depending on how it looks.  Healing can take up to a year so be patient.  Most importantly, discuss all of this with your personal surgeon.  I am sure they would like to see you and discuss ways to ensure the best possible healing with the current circumstances.

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