![]() ![]() In summary, the different type of fluid collections associated with Tummy tucks are seroma and hematoma. PICTURES SWELLING AFTER TUMMY TUCK HOW TOFor more detailed information, see my blog post about post operative Tummy tuck swelling and seromas, Tummy tucks and how to reduce swelling and eliminate fluid collections. Fluid can easily accumulate in this space and complicate the healing process. PICTURES SWELLING AFTER TUMMY TUCK SKINFluid collections after a Tummy tuckįluid collections are more common when there is a lot of space created between the abdominal skin and the underlying muscle. Large wound separations caused by poor blood supply may need revision and re-approximation of the wound edges in a procedure room. ![]() Slightly larger wound separations, or those caused by tension, can be taken care of by a suction device called a “Vac Dressing” manufactured by KCI. Remedy: Small wound separations are easily taken care of by packing the wound with medicated gauze. The Lockwood technique that I use for the Tummy tuck dissection is excellent because it does less undermining and preserves most of the blood supply. This is more common with techniques that elevate the skin all the way up to the skin margins. The wound edge heals poorly because of poor blood supply.The best way to prevent this is for the surgeon to excise the skin in surgery not according to ‘the pre drawn pattern’, but by making sure the closure will be more than adequate well before the actual cutting is made! Excess skin tension if too much skin was taken out during the procedure.Wounds can separate for the following reasons: However, it is not, as the separation only goes to the muscle wall. This looks dramatic to the patient, because the patient thinks that the separation is very deep. Remedy: Taking active steps to prevent infection is the best remedy. If the patient has a history of MRSA or exposure, we will do a swab culture of the nose (where MRSA frequently resides), and will give specific antibiotics against MRSA at the time of surgery. This can be a very dangerous infection after surgery. With respect to MRSA, as a precaution I routinely ask patients if they, or anyone in their family, has had an episode of MRSA (Methcillin Resistant Staph Aureus). Usually additional antibiotics are not needed unless the patient has fever and redness over an extended area. It is easily taken care of by lancing the area under a local anesthetic, and packing the small puncture with a medicated gauze. However, they can also be life threatening, like those of MRSA.Ī suture abscess is typically not dangerous, and it’s caused by the body trying to dissolve away some of the absorbable sutures that are placed in the deep layers of tissue to hold the tissue together. Infections can be minor, such as a suture abscess. Ask your surgeon if he will be giving you preoperative antibiotics and make sure you are not allergic! Most surgeons give patients pre-operative antibiotics so wound infection is not as big a problem as it used to be. Tummy tuck complications – Infection, wound separation, seroma, hematoma ![]()
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