Beginning post-operative day 1 (POD 1), and extending
to POD 14 to 28 or longer, the appearance of the INTEGRA®
Template or Neodermis will vary. The rate and progression
of the color change depends on the patient and rate of
healing.
Generally, Neodermis color will change through
a progression from red to pink to orange/peach to vanilla.
Neodermis 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 that Neodermis formation is
complete include:
- Neodermis 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 Neodermis. Granulation tissue (deep red color and
granular surface that bleeds easily) has formed at seam
lines.
