If you’re reading this, you’re likely considering or have recently undergone a plastic surgery procedure such as body contouring or the surgical procedures for loose skin removal after a massive weight loss. While these surgeries can be transformative, it’s important to understand potential complications, including wound breakdowns. Don’t worry – we’re here to guide you through this topic with care and expertise.
What is a Wound Breakdown?
First things first, let’s demystify what we mean by “wound breakdown.” Simply put, it’s when a surgical incision doesn’t heal as expected. Instead of closing neatly, the wound may partially or fully reopen. It’s not common, but it can happen and knowing what to look out for is key to addressing it promptly if it does occur.
Recognising the Symptoms:
So, how would you know if you’re experiencing a wound breakdown? Here are some signs to watch for:
- Increased pain or discomfort around the incision site.
- Redness that spreads beyond the immediate incision area.
- Swelling that seems to be getting worse, not better.
- Clear, yellow, or greenish fluid draining from the wound.
- A gap or separation in the incision line.
- Fever or generally feeling unwell.
If you notice any of these symptoms, don’t panic, but do get in touch with us right away. Early intervention is crucial for the best outcomes.
Understanding the Causes:
Wound breakdowns can happen for various reasons, and often it’s not anyone’s fault. Some common causes include:
- Tension on the wound: Sometimes, especially in areas that move a lot, like the abdomen, the skin can be under too much tension.
- Poor blood supply: Adequate blood flow is crucial for healing.
- Infection: While we take every precaution, infections can sometimes occur.
- Certain health conditions: Diabetes, obesity, or a weakened immune system can affect healing.
- Smoking: This can significantly impair the body’s healing abilities.
- Premature physical activity: Doing too much, too soon after surgery can stress the incision.
- Skin integrity: Some peoples skin is more prone to break down.
Treatment Approaches:
If a wound breakdown occurs, don’t worry – we have several ways to address it:
- Wound care: This might involve special dressings and more frequent changes.
- Antibiotics: If an infection is present or suspected, we may prescribe antibiotics.
- Debridement: Sometimes, we need to remove unhealthy tissue to promote healing.
- Re-closure: In some cases, we might need to re-suture the wound.
- Negative pressure therapy: This advanced technique – sometimes referred to as Hyperbaric Oxygen Therapy (HBOT), can help speed up healing in some situations.
Remember, every patient is unique, and we’ll tailor the treatment to your specific needs.
Prevention: Your Best Defence
While we can’t guarantee that wound breakdowns won’t happen, there’s a lot you can do to reduce the risk:
- Follow post-operative instructions carefully: They’re designed with your healing in mind.
- Keep your incisions clean and dry: This helps prevent infection.
- Avoid smoking: If you smoke, you will be asked to quit at least 6 weeks prior to and following your procedure
- Eat a balanced diet: Good nutrition supports healing. Protein is particularly beneficial for wound healing.
- Stay hydrated: Proper hydration is crucial for recovery.
- Manage any existing health conditions: If you have diabetes, for example, keeping your blood sugar under control is essential.
Tips for Good Wound Management and Aftercare:
Here are some practical tips to help you care for your surgical site:
- Gentle cleaning: Use mild soap and water as directed by your surgeon.
- Pat, don’t rub: When drying the area, be gentle to avoid irritation.
- Dressing changes: Follow our instructions carefully for changing dressings.
- Scar management: Once your incision has fully healed, we may recommend scar treatments.
- Wear your garments as directed
- Gradual return to activity: Don’t rush back into your normal routine – give your body time to heal.
- Stay in touch: If you have any concerns, reach out to us. We’re here to support you throughout your recovery.
Remember, healing is a process, and it takes time. Be patient with your body, and don’t hesitate to ask questions or voice concerns. We’re partners in your recovery journey.
At Valley Plastic Surgery, Dr. Matthew Peters and our entire team are committed to providing you with the best care possible. We understand that the recovery process can sometimes feel overwhelming, but you’re not alone. We’re here to support you every step of the way, ensuring you have the knowledge and care you need for a smooth recovery.
Note: Individual results will vary according to several factors, including genetics, age, diet & exercise. All surgeries carry risk & require an appropriate recovery period & aftercare regime which may include wearing compression garments or modifying your lifestyle post-operatively. You should seek a second opinion from a Specialist Surgeon before proceeding. More information about these risks and aftercare can be easily found on our website here:
