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How Long Should I Leave my Dissolvable Stitch Alone?

My dissolvable stitches are starting to pop out, I have two so far. One has been exposed about 2 weeks now and PS said to just let it be. Now I have another one. It is white and pretty strong. I dont think I can pull it as it seems to have two ends sticking out so I assume its in a knot. Can these stitches leave holes? Should I insist that my PS remove them? Im sure I will start having others pop out. They are freaking me out. I am 4 weeks Tummy Tuck post op

Doctor Answers (23)

Spitting Dissolvable Sutures Can Be Removed

+4

There should not be a problem with you trimming or removing one or more of your dissolvable stitches which have spit.  This happens not infrequently, especially when the knots of sutures have been placed very close to the skin.  The sutures are obviously not holding tissue together if they have spit out.


Louisville Plastic Surgeon
5.0 out of 5 stars 2 reviews

Call your ps

+4
I doubt you got your surgery for free, thus your doctor works for you. Go see him, let him remove the stitches and answer your question. It should be included in the fee he charged you.

William B. Rosenblatt, MD
New York Plastic Surgeon
4.0 out of 5 stars 9 reviews

Remove spitting sutures

+3

Spitting sutures can make for poor scars if left sticking through the skin.  The wound was  closed in several layers and it should not be a problem to remove the sutures that are poking through the skin after a few weeks.  If you are "freaked out" I would recommend you have your surgeon remove them.  If he won't ( I don't know why he would refuse)  then cleanse your skin with an antibacterial soap like Dial or Lever, wipe with peroixide and have someone remove the sutures with small scissors that have also been cleansed.  Where you see two ends pull up on one of them and cut one side only below the knot. Apply an antibiotic ointment and small bandage for a day or two. 

Lori H. Saltz, MD
San Diego Plastic Surgeon
4.5 out of 5 stars 11 reviews

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Spitting stitches following tummy tuck

+2
You should definitely consult your surgeon.  I would not advise you to trim, cut or remove any stitches on your own.  

Christopher J. Morea, MD
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Disolvable sutures from a tummy tuck

+2

It is very common for dissolvable sutures to work their way up to the skin and to start to come out! sometimes they cause inflammation points, similar to a pimple, at the site of exit. I recommend patients to jut cut the exposed part of the suture.

S. Sean Younai, MD, FACS
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Dissolvable sutures protruding through skin

+2

This is called suture spitting and is caused by deep sutures placed close to the skin or a localized reaction preventing the sutures from dissolving, therefore making them rise to the surface. 

These can be easily fixed by your plastic surgeon.   Generally speaking, if they are protruding beyond the skin edges I remove them.  If they are visible but not sticking out, I try to leave them as I do not want to create a hole by tugging on the suture.

I hope this helps.

Dr. GIll

Paul S. Gill, MD
Houston Plastic Surgeon
5.0 out of 5 stars 42 reviews

Dissolvable sutures spitting

+2

What you have are "spitting sutures" that can make their way to the surface. Usually by 3-4 weeks these sutures can be cut short or removed.

Steven Wallach, MD
Manhattan Plastic Surgeon
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Stiches after tummy tuck

+2

Don't worry, there is no reason to "freak out" since this is a common event after a tummy tuck with absorbable sutures. In most cases, the sites of the sutures heal fine. If this really bothers you, it is OK to ask your surgeon if they can be removed in the office.

Karol A. Gutowski, MD, FACS
Chicago Plastic Surgeon
5.0 out of 5 stars 20 reviews

Dissolvable Sutures

+1
It's not unusual for some of the superficial sutures to "spit" out during the healing process.  It's really not a big deal and doesn't typically hamper the healing process.  I follow my patients very closely during the early post op recovery phase.  This allow me to remove these sutures without any significant discomfort.  They can usually be removed by just pulling on them or by cutting them at the base.  

Justin Yovino, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 44 reviews

Dissolvable Sutures Need Help

+1
First of all, dissolvable suture material does not do so by exposure to the air. The suture is broken down by your body over time, depending on the material. When it is exposed, the exposed portion will not break down but the remaining portion under the skin will. In these cases, the knots will just fall off. Since you have had them sticking out for so long, I would ask your doctor to trim off the exposed portion, since this can also reduce the possibility of a superficial infection and the possibility of mild scar thickening.
When they are trimmed off, it can look like a hole (like a bad acne crater) but they will now be able to close off and heal.

Gabriel Chiu, DO
Beverly Hills Plastic Surgeon
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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.