Umbilical Stalk Necrosis? Should this need anything? 1 year post mini TT with full MR. (photos)

Question

I under went a mini-ab.plsty- but w/ full MR 1 yr ago w/ a float. I’ve recently had a revision. I believe there is necrosis that needs debridement or something. I believe he performed a neo umbilicoplasty. But he mentioned that part of my original belly button was used. This is confusing because the “float” would be poorly perfused tissue to begin with. So yes, this is necrotic but the odor is pungent. I am told it’s fine. I dabbed this yesterday after noticing the odor ...

Kenneth Hughes, MD · Answer

Hello, thank you for your question. I am sorry for your post op difficulties, skin necrosis refers to a complication when some of the skin next to the wound gets inadequate blood supply right after the surgery, turns black and scabby.  This results in a poor scar and prolonged healing. I would follow closely with your surgeon and allow him or her to dictate what to do next. Some surgeon prefer to leave the eschar intact and let the skin demarcate while others prefer to debride the dead skin.

Connie Hiers, MD, FACS · Answer

No, it is not fine, and yes you need wound care to avoid it becoming infected and damaging more tissue. Please go back to your surgeon.

Derby Sang Caputo, MD · Answer

Thank you for your question and the photos. It is important to talk clear with your surgeon regarding wound care because this looks necrotic and specific care is needed. Best of luck

Robert H. Hunsaker, MD · Answer

It is necrotic (dead). Different surgeons have different approaches. At this point I would likely debride the hard eschar, use silver sulfadiazine dressing changes and allow it to heal. This would be expected to takes months, not weeks. Your surgeon may choose a different equally effective approach.

Umbilical Stalk Necrosis? Should this need anything? 1 year post mini TT with full MR. (photos)

Answers (4)

Answer: Belly button

Answer: Belly button

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Umbilical Stalk Necrosis? Should this need anything? 1 year post mini TT with full MR. (photos)

Answers (4)

Answer: Belly button

Answer: Belly button

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Recommended reading

Everything you need to know about Mini Tummy Tuck

Our mission is to create a world where every investment in modern beauty is Worth It.