Incision opening. How long should I expect before this closes up? (Photo)
Doctor Answers 4
Incision separation or necrosis of tissue
Comprimise of the blood supply to the redraped tissue in an abdominoplasty is a well known complication but not a bad one in your case. You have a lateral opening and this would probably be from the tissue separating and not necrosis. The most common place for necrosis of the tissue is in the middle of the incision just above the pubic hair. This can be a necrosis and this takes longer to heal but still approached with many methods including wet to dry saline debriding dressings.
The treatment you are getting is fine. You are packing the wound and it will close without any further surgery. Just be patient. You are young and if you are a non smoker, this wound will lose its yellow milky appearance and then turn pink/red. This is your body creating "granulation tissue". It will fill in the hole and you will notice a red line of thickening around the hole as it heals. This is the skin that will cover over the granulation tissue. The closure has to go in stages and that is difficult to predict but it would be very common for this to get smaller and smaller over 3-8 weeks. Just a guess !!!
I still am amazed at how great the healing is after an opening that is treated this way without any further surgery at all !! However, having said that, if the scar is not as nice as you like, then you can revise the scar in the office and in most cases, you cannot even notice where the opening was. Pretty magical !!!
Be patient.....do the dressings as your doctor has instructed and you will not have any less of a result than if you did not have this separation of tissue.
Good luck with it all. All plastic surgeons that do a great deal of body contouring/tummy tucks have seen or will see this problem. Me included !!!