Beginning post-operative day 1 (POD 1), and extending
to POD 14 to 28 or longer, the appearance of the INTEGRA
Bilayer Matrix Wound Dressing will vary. The rate
and progression of the color change depends on the patient
and rate of healing.
Generally, the color will change through a progression
from red to pink to orange/peach to vanilla.
The site must be inspected for darkened areas or white/gray
areas which may result from complications (see Complications
and Interventions for more info on how to recognize and
treat).
Silicone is typically ready for removal around POD 21
but may take longer. Signs include:
- Site blanches to the touch and returns to an
orange/peachy or vanilla color upon release of light
finger pressure
- Silicone wrinkles and may begin to detach from
the site. Granulation tissue (deep red color and granular
surface that bleeds easily) has formed at seam lines.