I had arm lift on May 2nd 2019. Had right armpit open up 2 weeks post op and then my other armpit opened up 3 weeks post op. I have attached photos. PS had me treat the first wound, by packing with collagenase 2x a day for about a week and then packing it with a wet gauze (Tap water). He has me treating the left arm with collagenase still. I am very concerned and of course depressed that these wounds are so large and haven’t progressed much. Is there anything else that I can do?? Is this malpractice?
July 24, 2019
Answer: Arm Lift Complication Hello! Thank you for your question. I'm sorry that you have experienced a postsurgical complication. Unfortunately, wound dehiscence is not uncommon after this procedure. The treatment for it is local wound care. It will take time and patience before your wound dehiscence is completely healed. I hope this answers your question. Matthew A. DelMauro, M.D.
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July 24, 2019
Answer: Arm Lift Complication Hello! Thank you for your question. I'm sorry that you have experienced a postsurgical complication. Unfortunately, wound dehiscence is not uncommon after this procedure. The treatment for it is local wound care. It will take time and patience before your wound dehiscence is completely healed. I hope this answers your question. Matthew A. DelMauro, M.D.
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July 9, 2019
Answer: Delayed healing 6 weeks after brachioplasty / lipo Hi and welcome to our forum! The operative procedure of arm lift involves separation of the skin and soft tissues of the arm from underlying muscle. Excess skin and soft tissues are removed, and the tissues are advanced across the resulting defect and the incisions are closed. . If there is impairment of the blood supply to the skin and soft tissue, the segment of the flap the greatest distance from its blood supply may not survive. The cause of the blood supply impairment can range from an overly tight closure, effects of smoking, diabetes mellitus, vascular disease, previous surgery in the area (disrupting the normal blood supply), infection, or may totally inapparent. Treatment consists of removal of the unhealthy tissue, followed by intensive wound care. One looks for the development of granulation tissue, a beefy red vascular tissue, to develop, after which time the wound will begin to shrink. Most wounds of this size will seal over a span of 2-3 months. However, a regimen of frequent wound care is required after unhealthy tissue is removed. Every plastic surgeon has his / her own "favorite" regimen of wound care based upon years of experience. Follow your surgeon's instructions. Your wounds are granulating quite well. Once, sealed, the scars will initially be quite noticeable, but the scar will mature and its appearance will improve over 6-12 months. Will revision of the scar be required? Only time will tell. . The decision to seek a second opinion is yours to make. Complications happen. 15% of cosmetic surgeries require a secondary revision. Continue followup with your plastic surgeon Best wishes...
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July 9, 2019
Answer: Delayed healing 6 weeks after brachioplasty / lipo Hi and welcome to our forum! The operative procedure of arm lift involves separation of the skin and soft tissues of the arm from underlying muscle. Excess skin and soft tissues are removed, and the tissues are advanced across the resulting defect and the incisions are closed. . If there is impairment of the blood supply to the skin and soft tissue, the segment of the flap the greatest distance from its blood supply may not survive. The cause of the blood supply impairment can range from an overly tight closure, effects of smoking, diabetes mellitus, vascular disease, previous surgery in the area (disrupting the normal blood supply), infection, or may totally inapparent. Treatment consists of removal of the unhealthy tissue, followed by intensive wound care. One looks for the development of granulation tissue, a beefy red vascular tissue, to develop, after which time the wound will begin to shrink. Most wounds of this size will seal over a span of 2-3 months. However, a regimen of frequent wound care is required after unhealthy tissue is removed. Every plastic surgeon has his / her own "favorite" regimen of wound care based upon years of experience. Follow your surgeon's instructions. Your wounds are granulating quite well. Once, sealed, the scars will initially be quite noticeable, but the scar will mature and its appearance will improve over 6-12 months. Will revision of the scar be required? Only time will tell. . The decision to seek a second opinion is yours to make. Complications happen. 15% of cosmetic surgeries require a secondary revision. Continue followup with your plastic surgeon Best wishes...
Helpful 4 people found this helpful