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Hi all, this is my first ever post .. i'm so happy i've found this site, i've struggled to obtain info following my procedure!!
I had a tummy tuck with lipo 4 weeks ago in Prague (i'm from England). Since the procedure i have had lots of problems with severe oozing (which is still happening) and also I now have severe skin necrosis at the point where my 2 scars meet. The hole is the size of a 50 pence piece (maybe bigger) and looks really nasty! I'm wondering whether i'm going to have a permanent hole when it has all healed? Also, how long should skin necrosis take to heal?
I'm currently using aquacel silver dressings to pack the wound. I have been using this for 2 days.
I anyone has any advice or similar problems, it'd be great to hear your feedback.
Many thanks, Sue x
Welcome, glad you have found us!!! I have no first hand experience with necrosis, but there are plenty of helpful ppl on here to guide you.
I do know that it is just bump in the road to your full recovery and you will NOT have the hole forever (it will just feel like it! ) Some of healed up fine, others have had small revisions to the area..
Are you still in Prague or back in England? Wherever you are, are you under the care of a PS currently? I had skin necrosis in my upper abs which was revised 4 weeks ago. It will heal but it is slow. If you are not being followed by a PS and/or wound care center at this time please connect with one. It is a process and there are many things that can help speed healing that a doctor can recommend if needed. I had hyperbaric oxygen treatments which were helpful, others have used a wound vac with good results. Necrosis at the incision site is more common in TT than where I had it. I am sure some of the others will chime in here but I don't know exactly how it works when you have surgery away from home. I just want to be sure you are not home and trying to manage this on your own. There is a product called Medi-Honey that comes from Australia that I used with my PS agreeing and found that helpful. I ordered it online. My PW is Tiki if you want to take a look at my picks. Also do a search for Ronda44. She had a very large necrosis in the same area as you and has number of photos and lots of advice. Good luck, let us know what is going on with you.
I am a hole machine. Did not have any with my TT but did have one with my BR that has left a permanent scar almost 3 years ago and I am revising it in the next few months and I had a very large hole in my TL but it is almost closed and I predict a revision with that since it is just so large. Give it 2-3 more weeks to be sealed. It takes awhile. I just cover mine with gauze, I put nothing on it since the body heals itself but mine was not necrosis, my BR one was from smoking most likely and caused me to heal bad but quit years ago. With the TL it was bacteria and I was told numerous times that it will happen with the TL, 90% chance I think. Anyway... they do close. Talk to your PS for sure though. I air mine out at home since it helps to close it and made sure stitches were not spitting out. I had a very large stitch that was hanging out and he had to remove it and it is now closing faster.
Aquasilver dressing is awesome..it will take out anything that is dead and will leave the good tissue alone. I had severe skin and fatty necrosis. I am pretty sure you will deal also with fatty necrosis because it pretty much comes with the skin necrosis. I used aquacel, aquasilver and all those are great debridements. You will heal up, but it takes awhile..i had a wound vac and did end up needing another tt, but that's a long story. My ps was awesome and wound care clinic rocked. I did a lot of the wound care myself because i worked with tt's on OB when i worked there. If you have any questions feel free to ask. I am working the next 2 days and they are 12 hour shifts so i won't be on here ...but we will help as much as we can..we support each other here.
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