I’d like to talk a little bit about dealing with necrosis of the skin after abdominoplasty. Unfortunately, one of the complications that can happen with abdominoplasty is necrosis of the small area of the skin.
It tends to happen in smokers and in those patients who tend to be a little bit overweight. What we have to do in terms of dealing with it, although it doesn’t happen very often.
Normally, we watch it expectantly and just use local dressing changes and sometimes we’ll use silver sulfadiazine, which is something that’s used treating burn patients.
Normally, 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 usually go in and just do what we call a serial excision, in other words, we cut that scar out and oftentimes if we’re not able to cut the entire scar off.
We can just go back a second time and excise a little bit more off, but needless to say, it’s important to realize that number one, the chance of necrosis occurring in the abdominal wound following abdominoplasty is clearly less than 1% and number two, if it does happen there are ways to deal with this quite effectively. Thank you very much.