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open wounds?

open wounds?

Postby tat2girl » Thu Aug 11, 2011 6:12 pm

Hi there

I just joined today - and am hoping for some suggestions, guidance and/or ideas. I had an arm lift and extended tummy tuck on 7/29. However my arms are not healing correctly and would like to know if anyone else has had this problem - and how it was handled.

Has anyone dealt with their arms rejecting the drains and causing the incisions to split open and cause gaping holes? They have chosen to remove the drains and instead of redoing the sutures, do wet-to-dry dressings instead. I was told this will take 4 months to heal and will leave me with major scars.

Has anyone else had this problem? It's very distressing to me :(

Misty
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Re: open wounds?

Postby PalaPala52 » Thu Aug 11, 2011 6:36 pm

Hi,

I had brachioplasty about 2 years ago and had an incision open. The surgeon actually did the wrong thing by re-suturing it several times as it kept opening. Each time( 3) he restitched it he had to cut out fresh tissue and I was left with a large scar.

I went in for revisions with a different surgeon and he actually told me that the proper treatment would have been to do wet-dry dressings, and allow the wound to heal from the inside out. I had a revision brachioplasty performed and had an opening again and this time did the wet-dry dressings. It took about about 12 weeks to heal and the scar is not horrible at all. I can't tell where the opening was.

I have read that doing wet-dry dressing actually does not leave a worse scar and in my case it did not. Who told you that you would have a "major scar"..this may not be true at all. It may not take as long as you think to heal and the scar may not be as bad as you think. Wet-dry dressings is the proper treatment, it' s just a PIA to do for weeks. Hang in there. Things will get better.
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Re: open wounds?

Postby Maddiesmommy » Fri Aug 26, 2011 5:28 am

I had a tummy tuck and arm lift done on Aug. 2 and at about the two week mark my incisions started opening in my armpits. I never had drain in them. My doctor told me it was normal and to just keep dry gauze on it and let it heal from the inside out. One armpit is more closed and is only draining a small amount. The right armpit is about the size of a quarter and just looks like raw meat. Gross. And is so uncomfortable. Have too small children is not helping me also. What is wet/dry dressing? Is there anything else I can be doing? Thanks.
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Re: open wounds?

Postby Vanessa25 » Sun Oct 02, 2011 7:17 pm

Hi,
I read your post about the open wounds and I'm having the same problem with my armlift. My doctor referred me to a Wound Clinic and I go 7 days a week and have them packed in gauze and Dakins solution. The one under my armpit is the largest and is slow closing, and the other smaller ones seem to be doing okay..but too slow for my taste. I find myself very depressed and my arms ache all day long. Sleep...well forget about it. Just can't!

Tried the Wound Vac on the one wound that is under the armpit, but was too uncomfortable an area to apply it. I had it on 24 hours and was in so much pain from that tube sticking out of my armpit I had to have it removed. I heard a nurse say that they might have possibly nicked a lymph node as some of the drainage is clear. Haven't heard that before??

Was wondering how yours turned out. A bit of hope would be good right now.

Also, they are thinking of hyperbaric Oxygen which is almost 2 hours a day, 5 x a week! Has anyone tried that??


Hope it turned out well for you! Would love to have a bit of hope
Last edited by Vanessa25 on Wed Oct 05, 2011 4:45 pm, edited 1 time in total.
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Re: open wounds?

Postby mrsamywright » Mon Oct 03, 2011 5:35 am

Hi Vanessa, I just wanted to say if it's only been a month, I am sure you are still on the road to recovery. It sounds like your wounds are closing up, you just probably need a bit more time. I asked my PS why arm lifts are so challenging to heal and he said there are just so many nerves in the arms that it makes recovery difficult. I was comparing it to my TT which I thought would have been more intense, but the armlift is definitely the winner. I didn't get open wounds but I still have swelling in my right arm that flows into my forearm and on some days is sore.

I hope you keep us posted on how you are doing. :)
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Summer 2011: ETT, armlift, thigh lift, BL/BA and a few revisions along the way.....
A worthwhile journey takes time! Patience and humor are required. :)
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Re: open wounds?

Postby Vanessa25 » Wed Oct 05, 2011 2:21 pm

Thanks so much for the reply. It's very depressing to go thru this as it's such a slow process. Really appreciate the support!
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Re: open wounds?

Postby Vanessa25 » Mon Oct 24, 2011 8:02 pm

Hi ladies,
Wanted to update you on my progress. Have stopped going to wound care and am able to pack the one still open under my armpit. I do it twice a day. My surgeon has been working with me to get well, but it's slow. She keeps pulling out sutures that my body keeps rejecting. Over the weekend, my arm got red and hot. Went back to the PS today and they cultered it and put me on antibiotics. I already had staph in my left arm...now this? It's pretty painful right now. Not even sure if I can work like this. Will attach a picture. My PS drew a circle around it with a black marker to see if the redness spreads. I feel so bad. I know I'm in good hands, but geeze...this is simply awful for me. I live alone, so its easier to feel sorry for yourself (Grin).

sorry its saying picture quota is full - will try again later
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Re: open wounds?

Postby mrsamywright » Tue Oct 25, 2011 11:35 am

Vanessa, I am so glad you checked in. I know what you are going through right now is so hard, but hang in there - it sounds like you are in good hands.
Forum Moderator
Summer 2011: ETT, armlift, thigh lift, BL/BA and a few revisions along the way.....
A worthwhile journey takes time! Patience and humor are required. :)
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Re: open wounds?

Postby Vanessa25 » Sat Oct 29, 2011 11:03 pm

Hi again...
My culture from my left arm came back as staph again. It's painful still and am a little worried about taking so many antibiotics. I'm hoping I can post sometime soon that I'm doing well and arms are great! I will say I had a great surgeon and that when these babies are healed they are going to be nice and thin! So there's a positive somewhere in my near future!! I had a mini facelift done at the same time. It came out perfect, but I've concentrated so much on my arm situation, I didn't even remember to mention the best part of the surgery. November 1st will be 2 months. Seems like a lifetime ago!

Thanks ladies for listening!
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Re: open wounds?

Postby mrsamywright » Sun Oct 30, 2011 2:54 pm

Vanessa, I think the arm recovery is just a long process. You are so right when you say those thin arms will be worth it. Your arms will continue to improve and heal - just hang in there. I will be undergoing revisions next week and are having my arms tweaked slightly, but it's nothing major. One arms has a tiny piece of skin that is just sort of there right at the top on the incision and the other needs a tad more lipo - other than that everything is great!
Forum Moderator
Summer 2011: ETT, armlift, thigh lift, BL/BA and a few revisions along the way.....
A worthwhile journey takes time! Patience and humor are required. :)
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Re: open wounds?

Postby Vanessa25 » Mon Oct 31, 2011 6:03 pm

I guess in the next 6 months or more a revision to help improve the scars is the next thing I face. With all the huge open wounds I have had, I have to say that they aren't as bad as I thought it would be. In fact where the largest wounds were look the best as far as scar tissue goes. Guess the gauze and dakins packing does wonders, but works slow!

Please do let me know how your revision goes. I would love to hear about it. My surgeon said its something that they can do in their office with a local. I would just hate to go thru this whole wound issue again.

It will all be worth it! Short sleeves, cap sleeves, tank tops wooohooo!
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Re: open wounds?

Postby mrsamywright » Tue Nov 01, 2011 6:03 am

You are so right, Vanessa. Tank tops and all - so worth it! I will let you know how the revision goes. I go in Thursday morning. I'll try to post an update Friday or Saturday.
Forum Moderator
Summer 2011: ETT, armlift, thigh lift, BL/BA and a few revisions along the way.....
A worthwhile journey takes time! Patience and humor are required. :)
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Joined: Sat Feb 19, 2011 6:37 am



Re: open wounds?

Postby Vanessa25 » Tue Nov 15, 2011 9:06 pm

Yipee! Wanted to tell you I am not wearing one single bandage or piece of gauze or medical tape, nor do I have a bottle of Dakins Solution, or any tubes of Silversorb! I'm done with the wound clinic and my horrid wound vac and all that driving!

The huge 6 inch opening finally closed up! Geeze, it took so long! I can't tell you how wonderful it feels to not have to wake up early and pack all those wounds! Scars are red and bumpy and look icky right now, but after all that I went thru, I just don't care (for the time being anyway) (LOL) I'm sure I will start being more concerned about them in the next 6 months or so. But for now....I"M FREE!!

Hot bubble bath...I'm diving in with both skinny arms!

Thanks for listening!
xoxo
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