Why is the skin around my wound white and soggy?

Healthy tissue around a wound that gets too wet softens, and that can cause the wound to get bigger. Keep the dressing and the skin around it dry.

White, soggy skin around a wound tells you something, and it can have a real consequence.

For ischemic ulcers and venous leg ulcers, the instruction is the same. Keep the dressing and the skin around it dry. Try not to get healthy tissue around the wound too wet. This can soften the healthy tissue, causing the wound to get bigger.

That last part is why this matters and isn’t just about how it looks. Softened skin at the edge is skin that can break down. A wound that gets bigger at its edge is getting bigger for a reason that has nothing to do with the wound bed itself.

This can seem to clash with other advice. For pressure sores, a dressing helps keep the sore moist so it can heal. But moisture in the wound and moisture on the surrounding skin are different things. You want both at once: a moist wound bed, and dry, intact skin around it.

General home wound care fits with this. Don’t use lotions, powders, cosmetics or any other skin care products on a wound. After bathing, pat the area around the wound dry with a clean towel.

What this page can’t tell you is whether your dressing is the right one for the amount of fluid your wound is producing. That is a question for the person who chose it, and softened skin at the edges is a reasonable thing to raise with them.

What to watch for

Keep the dressing and the skin around it dry. Try not to get healthy tissue around the wound too wet, because this can soften the healthy tissue and cause the wound to get bigger.

If the skin around your wound is softening, the dressing and the change schedule are worth reviewing with whoever set them.

More drainage than before, or drainage that is yellowish or cloudy, can be a sign of infection. Contact your provider if you notice it.

Wound Wizard is general education and can’t assess your wound or your situation. Your own clinician is the right person to ask about your wound.

What we look at

  • Examining the wound edges and the skin around them
  • Assessing how much fluid the wound is producing
  • Reviewing whether the dressing suits that amount
  • Adjusting the dressing or how the surrounding skin is protected

Sources

  1. Ischemic ulcers - self-care — MedlinePlus, U.S. National Library of Medicine https://medlineplus.gov/ency/patientinstructions/000742.htm
  2. Venous ulcers - self-care — MedlinePlus, U.S. National Library of Medicine https://medlineplus.gov/ency/patientinstructions/000744.htm
  3. How to care for pressure sores — MedlinePlus, U.S. National Library of Medicine https://www.medlineplus.gov/ency/patientinstructions/000740.htm
  4. Surgical wound care - closed — MedlinePlus, U.S. National Library of Medicine https://medlineplus.gov/ency/patientinstructions/000738.htm