Will my necrosis heal on its own? (Photos)

Dear c.ward27,based on your photos, you have an area of necrotic skin which should be removed in order to clean the wound properly and to allow it to heal properly. I would suggest you to consult your plastic surgeon and get it done. Keep your wound clean. It will probably need a longer period of time to fully heal.Daniel Barrett, MD, MHA, MS
Certified, American Board of Plastic Surgery 
Member, American Society of Plastic Surgery

Hi.  Another option to explore with your surgeon might be the idea of "debridement", which is a fancy way of saying "surgical removal of the unhealthy tissue".  This would remove the black scab, and any unhealthy tissue, and allow dressings to start working on the wound base, to allow it to clean up.  

Thank you for sharing your question and photograph and I am sorry to see your area of necrosis.  Regardless of depth of tissue loss your body will fill this area of compromised skin in slowly over time.  It is important to maintain close follow up with your surgeon to ensure appropriate local wound care advice as the tissue declares itself and starts to evolve and mature.  Hang in there as this will take several weeks to months to fully heal.  Best wishes.

Thank you for your question. I am sorry for this complication. You need good local wound care and I believe it will heal by itself. Please follow instructions from your PS.

The Silvadene cream you are using will help chemically debride the area.  We commonly use this for burns.  If it is not effective then we would typically debride the area surgically/mechanically.  This step would lead to an open wound usually that would require dressing changes on a daily basis.  Close follow up with your surgeon is very important throughout this time to ensure proper healing.  You may need some scar revision later, after everything is healed.  Good luck!