Some wounds close with basic care. Others stall, reopen, worsen, or involve tissue loss the body cannot repair on its own. When progress slows or the injury becomes more complicated, complex wound surgery may be needed to close the area, protect deeper structures, and lower the risk of further problems.
In Grand Rapids, Michigan, Elite Plastic Surgery provides reconstructive care for complex wounds, burns, trauma, and cancer-related tissue loss. Drs. Shannon Armstrong, William Cullen, Matthew Martin, and Matthew Fahrenkopf bring experience in plastic, reconstructive, and hand surgery. Drs. Armstrong, Cullen, and Martin are board-certified plastic surgeons, and our team places a strong emphasis on education and clear communication throughout care.
Why Some Wounds Do Not Heal Normally
Wound healing depends on blood flow, tissue health, infection control, nutrition, and the size or depth of the injury. A shallow cut on healthy skin may close without much intervention. A deeper injury with poor circulation, dead tissue, infection, or exposed bone or tendon often needs more advanced care.
Surgery may be recommended for wounds caused by:
- Traumatic injuries
- Burns
- Vascular disease
- Radiation therapy
- Cancer removal
- Infection or tissue death
- Large areas of skin or soft tissue loss
Our burn treatment services may include ascar release, skin grafting, flap surgery, or another reconstructive method when burns damage the skin deeply or limit movement.
Signs a Wound Needs Prompt Evaluation
A wound that is not improving should be checked. Increasing pain, spreading redness, swelling, drainage, odor, darkened tissue, fever, or a wound that grows instead of shrinking can point to infection, poor blood supply, or deeper tissue damage.
Hand wounds need especially careful attention. Tendons, nerves, blood vessels, and small bones sit close together, so even a small injury can create lasting problems. Our related blogs on traumatic hand injuries and nerve repair surgery explain why early care matters when function is at risk.
What Complex Wound Surgery May Involve
The surgical plan depends on what the wound needs. Some wounds require cleaning and removal of unhealthy tissue. Others need skin grafts, local flaps, or microsurgical techniques to bring healthy tissue into the area. If the wound follows cancer removal, reconstruction may be planned to restore coverage and contour after the cancer has been treated.
In every case, we look at the wound’s location, depth, tissue quality, and effect on movement. The goal is to create stable coverage, protect deeper tissue, and give the area a better chance to recover.
Get Help for a Non-Healing Wound
A wound that will not close, keeps worsening, or limits movement deserves timely attention. Our team can evaluate the injury, explain your options, and recommend the next step in care. For complex wound surgery in Grand Rapids, MI, schedule a consultation with Elite Plastic Surgery or call 616-459-1907.


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