I am 1 yr post op. At first I was told were some spitting stitches. But what started as just one, slowly became 3 all around my aerola. One completely healed up a few months ago, but at the moment I have 3 sore spots (1 in my actual aerola) that fill with pus. When I clean the pus up I can see what my surgeon said is a permanent stitch (white tape like stitch, to stop the aerola from spreading). I have tried 3 wks of anti-biotics to get rid of the infection but it hasn't worked. What's going on?
1 Year Post Op and Having Problems with Permanent Stitches Around my Areola and Pus Like Substance? (photo)
Doctor Answers (13)
Post Operative Infection of Suture
Your pictures are very helpful. It appears that you have multiple suture abscesses. The treatment for this problem is to have them removed. This will remove the foreign body, your suture, from the wound and allow for your body to fight off the localized infection. It would be rare that such an infection has to be treated with antibiotics. If you do not remove the suture, the bacteria will have a place to "hide" from any attempts by your body to eradicate the infection. This will also hamper the ability of the antibiotics to affect the infection as the antibiotics will not penetrate the area around a foreign material in adequate amounts to kill the infection.
If removal of the suture causes an alteration to your results, this can be fixed later. You must first remove any infectious processes. Good luck.
1 Year Post Op and Having Problems with Permanent Stitches Around my Areola and Pus Like Substance?
Thanks for photos. Best to have the suture removed under local anesthesia. This will allow full healing in those areas.
Infected permanent sutures
This is typical of an infected permanent suture that needs to be removed. It should not be repaired until after your body has had time to resolve the infection without the foreign material in place (several months at least).
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Suture Problem After Lift
This is the unfortunate problem that can occur with this technique and the type of suture used. Being that you are one year out this is likely a problem that will not resolve on it's own. My recommendation would be to return to your surgeon and see if they feel a good option would be to remove the suture to help cure the problem. Best of luck to you!
Permanent sutures to maintain areolar size
Periareolar suture and drainage
If you see the stitch and there is drainage, then this will not go away compeltley withou remvoving the stitch. It is doubtful that at a year the areoal will stretch further. It can always be revised in a few months if it does so, but I think the suture needs to be removed. Good luck.
Problem can and should be fixed surgically
Thank you for the photo. I would recommend removal of both sutures and waiting until the infection has gone away completely. At that time you may choose to undergo a revision areolaplasty where another permanent suture is placed to reduce the areola size and keep the incision thin. Although there is a theoretical chance of infection we use permanent products, including implants, all the time with very low chances of infection. If you do undergo another areolaplasty I would still recommend a permanent suture and this should be a gortex suture.
All the best,
Dr Remus Repta
Removal of permanent stitch
Since you are one year out that stitch is not helping with the lift and areolar reduction at all. The milk ducts have bacteria in them, as does the skin. These are contributing to the prbolems with the suture, as it is just below the skin.
I would definitely recommend seeing your plastic surgeon about having the stitches removed.
Your sutures are spitting because they are acting like a wick for bacteria. They need to be removed to avoid a serious infection. This is a small procedure, so don't stress about it.
I would not recommend antibiotics alone, as the foreign material must be removed in order to heal.
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