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Knots Under my Incision Scar

I recently had a TT, I have been healing very well, but in the beginning of this week I noticed 2 small knots under my scar, one on the left and one on the right, I have been massaging them regularly (dont know if that helps) and they seem to be going away, when I touch the one on the right it does not hurt but it seems there is a line leading away from it that hurts a little (used to feel that pain in the first 6 weeks of healing. Sorry I dont have a pic, its not visible just by looking.

Doctor Answers (13)

Scar Knots

Sutures used to close tummy tuck incision are typically all below the surface of the skin and absorbable.  It can take several months for the sutures to absorb.  Before they do, your body may try to expel them out through the incision.  Return to your surgeon if any of these sites are problematic.

Nashville Plastic Surgeon
5.0 out of 5 stars 8 reviews

Knots under scar from an abdominoplasty

Marginal necrosis at the wound edge especially in the midline is not unusual following an abdominoplasty. With conservative management it will get better. Your plastic surgeon will help you get this area healed.

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 10 reviews

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Inflammatory Nodules May Develop with Absorbable Sutures Following Tummy Tuck


Its not unusual for abdominoplasty incisions to be closed with a series of absorbable sutures.  These sutures typically resorb in 3-6 months following surgery.  During this process inflammatory nodules can occasionally develop which are sometimes tender.

These nodules typically respond to massage and often dissolve with the passage of time.  It’s important to discuss this issue with your surgeon.  Your surgeon should be able to address this problem and reassure you.

Richard J. Bruneteau, MD
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Tummy tuck


Scars will be pink, firm and bumpy for 3-4 months.  In most cases they will start to fade, soften and flatten out over the next 3-6 months.  If the scar starts to raise up like a keloid try topical silicone.  I hope this info helps.

Ronald H. Stefani Jr, MD
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Palpable bumps in incisions commonly are sutures


It is very common that patients have palpable bumps under their incisions following tummy tucks. Most commonly, what the patients are feeling is the suture material (knots) under the skin. Even absorbable sutures take three months to be patient.

Kevin Brenner, MD, FACS
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Bumps under incision


As you progress in your healing, you will often notice things you may not have noticed originally. "Bumps" under the incision are likely sutures underneath the skin. It is likely you never noticed them before because prior to this time your swelling masked these bumps. As your swelling resolved, these bumps became more apparent.

Stitches underneath the skin can take up to six months before they completely dissolve, depending on the material of which they are made. 

William A. Wallace, MD, FACS
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Knots under the incision after a tummy tuck


"Knots" or firm areas felt under the healing incision after a tummy tuck can either represent the scar tissue forming around dissolvable sutures (before they have had a chance to dissolve) or just the normal "healing ridge" that is scar tissue in a scar that has not softened yet.  Isolated lumps can sometimes represent a very small blood collection or small hematoma.  Usually these will resolve over time.  Massage will help scar tissue soften faster, but I would wait until after 6 weeks so that the scar is healed and strong and cannot be disrupted.

Robert M. Grenley, MD
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Knots may be sutures


Knots that you are feeling in your stomach area after a tummy tuck may be knots from sutures underneath the skin.  Usually they dissolve with time.  But if they do not, then you may need to have them surgically removed.  Knots can also be caused by scar tissue.  In your case, that is a good possibility because you are able to get them smaller by massaging.  Unless the skin opens up over the knots or there is severe pain, they are probably nothing to worry about.

James Tang, MD
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Scar issues after a tummy tuck


It is not uncommon for patients to feel small bumps or areas of firmness beneath their scar after a tummy tuck.  Most of the time these bumps resolve on their own with massage and patience.  I frequently tell my patients that it takes at least a year for their scars to heal completely and take on their permanent appearance.  Sometimes, knots from sutures fail to dissolve completely and can become exposed.  These exposed portions of suture material can be removed by your surgeon or their staff.



Kelly Gallego, MD, FACS
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.