What is happening? Incisions going nuts! Slough? Dehiscence? Please help! (Photo)

Question

I am 3.5 weeks TT/Lipo/BR. All was well. My suprapubic area started opening a bit week 2, then belly button looked yellow. Both my drain sites are still open and have what looks like slough. My PS put me on abx preventative and AG dressing. No ointments. No debridement. Yesterday I woke up to my breast incision opened like an inch, with stitches coming out (can't reach them). He doesn't seemed concerned but I am freaking out! I am healthy, never smoked, no medical issues.

Stefan Mark Szczerba, MD · Answer

These will all heal!  You have a little necrosis in your umbilicus and the incisions have separated a little in certain areas.  These will all heal with wound care and time!  Follow up with your plastic surgeon on a regular basis as this can be nerve racking!  You be fine- best wishes!!

Nelson Castillo, MD · Answer

Thank you for sharing your question and I am sorry to hear of your incision related issues. It does appear that you are suffering with small areas of wound dehiscence and slough formation.  Fortunately the areas look small enough that they should heal uneventfully with local wound care.  Be aware that you may see the areas worsen before they start improving but keep close follow up with your surgeon as your healing progresses.

Robert V. Mandraccia, MD · Answer

You have a few aresa of necrosis but theyu look small and should heal with wound care. I like 1 part white vinegar to 8 parts water, as a soak 3x per day on gauze. Check with your doctor frequently.Best, Dr Mandraccia, Ft Myers, Fl

Ven Erella, MD · Answer

Thank you for your question. Look like you have healing issues. You need good local wound care and it is going to heal fine. Please talk to your PS and follow instructions.

Darryl J. Blinski, MD · Answer

Could be reaction to the deep sutures? But you need in person examination and daily treatments in my opinion. Seek in person paid second opinions if needed...

Meredith Vandegrift, MD · Answer

Hello! Thank you for sharing your photos.  I understand how upsetting this can be! However it is common for small wound openings to occur after having these types of surgeries, especially if a lot of tissue was removed.  Rest assured that they will heal completely, it just requires a little extra TLC to the wounds  while you are going through the process.  Any irregularities in terms of your final outcome can usually be tweaked in the office.  Hang in there!  Best of luck.

Francis (Frank) William Rieger, MD (retired) · Answer

You have small areas of slow healing along each of your surgery sites.  Local wound care should be followed carefully, but I believe that you should heal properly.  Follow the recommendations of your Plastic Surgeon, but don't let these get worse before you follow up with your Surgeon!  You may be reacting to your deep sutures?  Shouldn't prevent you from healing, however.Good luck to you.Frank Rieger M.D.  Tampa PlStic Surgeon

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What is happening? Incisions going nuts! Slough? Dehiscence? Please help! (Photo)

Answers (7)

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