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Can necrotic skin spread to other areas if not treated correctly?

Q:

I had a facelift, necklift, two weeks ago. Within 10 days of the procedure, I developed open sores around my entire ears. I am a non-smoker--never have been, am not around smokers. My doctor, who I have kept in very close contact, said to keep them clean, and to use topical antitbiotic twice a day, which I've been doing. is there anything else I can do? I'm so worried it will spread to other areas. Is it stable, and just a matter of time before it heals?

A:

Loosing some skin is rare but can happen with facelift. Initial treatment is conservative for small areas of necrosis. Sometime in office debridenent may hasten the process. The wounds usually heal well with local wound care. After complete healing need to evaluate the scar and determine the need for scar revision.

It sounds that your surgeon is keeping close follow up and contact with you. Continue with your physician

A:

Your description suggests that your skin flaps developed ischemic necrosis from compromised blood supply to the skin flaps.  Typically, the skin that is compromised will declare what tissue is viable and will survive and what tissue will not.  At that point, the necrotic tissue may need to be removed and the wounds heal.  Revision surgery may be needed.  You should continue to keep in close contact with your surgeon throughout your recovery.

A:

Your description suggests that your skin flaps developed ischemic necrosis from compromised blood supply to the skin flaps.  Typically, the skin that is compromised will declare what tissue is viable and will survive and what tissue will not.  At that point, the necrotic tissue may need to be removed and the wounds heal.  Revision surgery may be needed.  You should continue to keep in close contact with your surgeon throughout your recovery. www.drtoddcase.com

A:

Wounds will heal in these areas without much difficulty.  The wounds will typically not spread.  Provided there are no other issues with infection, poor nutrition, or illness that would compromise wound healing.  You have stated that you don't smoke and are not around smokers.  That is great and will be to your benefit now and in the future.  Keep in close contact with your surgeon.  Don't get impatient or frustrated.

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