Let’s talk about dealing with necrosis of the skin after abdominoplasty (tummy tuck). Necrosis is the death of most or all of the cells in an organ or tissue due to disease, injury, or failure of the blood supply. Unfortunately, one of the complications of abdominoplasty can be necrosis of a small area of skin.
Necrosis Occurs Infrequently
To start, it’s important to note that it does not occur very often. The chance of necrosis occurring in the abdominal wound following abdominoplasty (tummy tuck) is less than 1%. However, smoking or obesity can increase your risk. If it does occur, there are ways to deal with it effectively.
Normally, we use local dressing changes and sometimes, silver sulfadiazine. Silver sulfadiazine is used for treating patients with burns. Typically, the wound will heal like any other wound. At that point, after waiting 4-6 months for the surrounding skin to stretch out, we can do a serial excision. A serial excision is where we cut a scar out. If we’re not able to cut the entire scar off, we can go back a second time and excise a little bit more off.
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If you have any concerns about necrosis or abdominoplasty, we’d love to talk with you. Contact us today to get a free consultation.