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Body Dehiscence or Wound Separation

During a tummy tuck, your surgeon creates an incision to remove excess skin and sculpt a firmer, flatter midsection. Once the procedure is complete, the incision is meticulously closed to begin the healing process. However, if the edges of the incision pull apart prematurely, it’s known as wound dehiscence—a serious complication requiring prompt medical care.

Dr. Rahban talking to a patient

My procedure was more than successful. I did not experience the swelling, bruising, or pain that are usually associated with liposuction. All this I credit to his expertise.

Mike L.

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Experience That Lowers Your Risk of Complications

The good news is that dehiscence is highly preventable with the right surgical technique and attentive aftercare. Under the hands of board-certified plastic surgeon Dr. Rady Rahban—a Fellow of the American College of Surgeons and an active member of The American Society of Plastic Surgeons—patients can trust that every step is taken to ensure secure incision closure and optimal wound healing. Drawing on his extensive training at the University of Southern California and years of experience correcting complex complications, Dr. Rahban approaches each tummy tuck with a blend of surgical precision and genuine patient advocacy.

Understanding Wound Separation

Wound separation can present in two ways:

  • Partial Dehiscence: Only the uppermost layers of tissue reopen.
  • Complete Dehiscence: All layers reopen, potentially exposing underlying tissues such as the abdominal muscles.

Common symptoms include the following:

  • Bleeding at the incision site
  • An open or gaping wound
  • Broken sutures
  • Persistent pain
  • Pus and drainage (signs of possible infection)

When addressed early, wound dehiscence can often be managed effectively, minimizing further complications.

What Causes Wound Separation After a Tummy Tuck?

Most causes of wound separation are avoidable, underscoring the importance of selecting a highly skilled, board-certified plastic surgeon like Dr. Rady Rahban. Recognized for his discerning approach and focus on patient education, Dr. Rahban implements precise techniques that reduce tension on your incision and encourage healthy healing.

Poor Closure

  • If closure is rushed or only the superficial skin layers are sutured, underlying tissues may reopen under strain
  • Dr. Rahban personally closes every incision and carefully sutures each tissue layer—an approach he’s known for across his revision and reconstructive procedures

Excessive Skin Removal

  • Removing too much skin places undue tension on the incision
  • By opting for a balanced, conservative resection, Dr. Rahban ensures there’s enough tissue left for a secure closure

Premature Removal of Sutures

  • Some sutures dissolve internally, but if superficial sutures are removed too soon, the wound may not be strong enough to stay closed
  • Dr. Rahban monitors your progress closely, removing sutures only when the area has healed sufficiently

Infection

  • An untreated infection can weaken wound edges, causing them to separate
  • As a Fellow of the American College of Surgeons, Dr. Rahban takes every possible precaution—administering antibiotics, using sterile surgical techniques, and providing detailed aftercare instructions to keep your incision site infection-free

Chronic Medical Conditions

  • Diabetes, heart disease, and anemia can impair circulation and slow healing
  • If you have any of these conditions, Dr. Rahban will work with you to optimize your health before surgery, reducing your risk of dehiscence

Excess Pressure on the Incision

  • Strenuous exercise, vomiting, coughing, or heavy lifting can overload the healing tissues
  • Dr. Rahban prescribes a specialized abdominal binder and thorough post-op guidelines to minimize strain on your midsection as you recover

Smoking

  • Nicotine constricts blood vessels and compromises circulation, increasing the chances of wound separation
  • To protect your outcome, Dr. Rahban will insist that you quit smoking for at least four weeks before and two weeks after surgery

Additional Risk Factors

  • Obesity
  • Advanced age
  • Poor nutrition

If any of these apply to you, Dr. Rahban will develop a personalized strategy to manage these risks and support a smooth recovery.

How Is Wound Separation Treated?

Wound dehiscence requires urgent intervention:

  • Antibiotics: To prevent or control infection.
  • Surgical Debridement: Cleaning the wound, removing any dead or infected tissue, and promoting healthy regrowth.
  • Careful Re-Closure: The incision is closed again with extreme care to ensure proper alignment and reduce tension.

How to Prevent a Recurrence

Experiencing wound separation once can heighten the concern for another occurrence. The following steps can help ensure an optimal healing environment:

  1. Follow All Postoperative Instructions: Adhering to Dr. Rahban’s guidelines—including medication use, wound care, and follow-up visits—is key to preventing future complications.
  2. Prioritize Overall Health: A balanced diet, sufficient hydration, and good nutritional support boost your body’s natural healing abilities. Avoiding constipation is especially important; straining can place undue pressure on your abdomen.
  3. Minimize Strain on the Abdominal Area: Avoid heavy lifting, intense exercise, and aggressive coughing/vomiting until you’re fully healed. If you’re prone to seasonal allergies or frequent coughs, discuss preventative measures with Dr. Rahban beforehand.
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Schedule a Consultation

When you meet with Dr. Rahban, expect a thorough and honest evaluation. He will discuss your aesthetic goals, assess whether a tummy tuck is the right solution for you, and explain potential outcomes, risks, and benefits. Thanks to his board certification, advanced training at the University of Southern California, and reputation for patient-focused care, you can trust you’ll receive a plan tailor-made to ensure a smooth, complication-free recovery. If you’d like to learn more, we encourage you to schedule a consultation and experience firsthand the diligent and compassionate approach that sets Dr. Rahban apart in Beverly Hills.

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When Dr. Rahban does a consultation with a prospective patient, he wants it to be two things above all others: thorough and honest. He will find out from you just what you want from cosmetic surgery. And he will tell you honestly if you can get the result you want, and how he can best help you do so.

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