Why Do Patients' Bodies Reject the Green Non-Dissolvable Sutures?

asked 1 year ago by San Diego8304 in San Diego, CA
Latest answer by Tom J. Pousti, MD
Question viewed 855 times
Tags: rejection, sutures

It's been years since my tummy tuck but my body has been rejecting the green non dissolvable sutures according to my surgeon. The affected areas started bruising then swelling until I started feeling a poking sensation which resulted in tearing of my skin, fluid coming out, soreness etc. I had 2 of them fixed and I'm hoping that the rest of the sutures will not give me the same problem. Please tell me why this is happening despite of the fact that it's been years since I had my surgery?

5 answers to Why Do Patients' Bodies Reject the Green Non-Dissolvable Sutures?

Tummy Tuck Muscle Repair Suture Surfaced?

Thank you for the question. Unfortunately, what you have experienced can occur occasionally after tummy tuck surgery. The sutures used for muscle plication are either permanent sutures or long-lasting absorbable sutures. Either way, the sutures can come to the surface and cause issues such as open wounds/inflammation/drainage... If this does occur, the sutures must be removed. If it is a single suture this can usually be done in the office under local anesthesia. if... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Suture abscesses

Although many surgeons use non-absorbable sutures to repair the diastasis recti, sometimes these sutures work their way out of the body. It can happen at any time but is not common.

Steven Wallach, MD
Manhattan Plastic Surgeon

Why patients reject sutures.

Patients may reject or "spit" sutures for a variety of reasons. These include infection, foreign body granulation, proximity to ingrown hairs, seeding from bacteremia, etc. see video

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Suture Rejection

There are several reasons why patients may "reject," or "spit" sutures. Most commonly, if sutures are placed too superficially and are a large caliber suture, then the knot may be palpable (i.e. you can feel it with your finger) below the skin. Over time, the knots from these sutures can cause friction on the immature overlying scar tissue and gradually work their way through. This can occur with both absorbable sutures (i.e. Monocryl, Vicryl, & PDS) as well... more

Kevin Brenner, MD
Los Angeles Plastic Surgeon

Ethibond sutures

I had a patient with a very similar problem recently. I'm not sure why it happens, but the only thing to do is to just take them out one at a time if they give you problems.

Mark Broudo, MD
Miami Plastic Surgeon

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