Pros and Cons of Permanent Vs. Dissolvable Sutures for Diastasis?

asked 1 year ago by Louise10 in Decatur
Latest answer by Theodore Diktaban, MD
Question viewed 615 times
Tags: female, 130-149 lbs, 5 ft 8 in to 6 ft 0 in, comparison, diastasis recti, sutures

I'm concerned and "creeped out" by the idea of permanent sutures for diastasis and would like to be more informed about dissolvable sutures. Is there a real, increased risk of muscles coming apart at some point? What is the impact of ab work/exercise in mitigating that risk or making it worse? Are the muscles pretty much fused/scarred together by the point that they dissolve? Any data on the prevalence of permanent vs. dissolvable? I'm 5'8" and 138 lbs, and fairly active.

9 answers to Pros and Cons of Permanent Vs. Dissolvable Sutures for Diastasis?

Absorbable Sutures in Abdominoplasty

Since the desired end result of most plastic surgery is a permanent improvement in appearance, the diastasis is repaired with permanent sutures. In my practice, while I do use permanent sutures, I place them in a way so the knots are buried and therefore you should not be able to feel them. I share the opinions of most of the physicians answering your question here in that this is something you should not spend your time worrying about and rather focus on the myriad of other... more

Theodore Diktaban, MD
Manhattan Facial Plastic Surgeon

Suture repair

Either would be acceptable as long as each strong enough to hold during the healing phase. Some absorbable sutures lose their strength too quickly while others last an adequate time.

Marc Schneider, MD
Fort Myers Plastic Surgeon

Permanent sutures in tummy tuck

There are no studies that I know of which compare dissolving and permanent sutures in tummy tuck. Some do use dissolving sutures for diastasis repair, most do not. Similar to a repair of a hernia, permanent support has been important to reduce recurrence. There is no downside or disadvantage to a permanent suture so you shouldn't put much worry into it. Best of luck, peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon

Permanent Sutures Better For Diastasis Repair

With regards to permanent vs. absorbable sutures for diastasis repair, the problem with dissolvable sutures is that their degradation is ahrd to control from patient to patient, as well as their loss of strength. You generally need a good six months of soild healing for everything to sacr down and solidify internally, and even the best/strongest dissolving sutures are usually pretty weak at that point. They will still be there, but will not have nearly the tensile strength as the... more

Christopher V. Pelletiere, MD
Barrington Plastic Surgeon

Either choice is fine

Dear Louise 10, Using either type of suture will be acceptable. After a certain period of time has elapsed, the diastasis repair is healed, and does not depend on the sutures to hold thing together. This occurs well before a dissolvable suture has dissolved, so a non-permanent suture is acceptable. I have used both types of sutures in tummy tucks with no differences noted in any of my patients. Good luck. Best regards, Lawrence Tong MD FACS FRCSC

Lawrence Tong, MD
Toronto Plastic Surgeon

The choice depends on the plastic surgeons experience

There is not wrong or right way. The longer lasting restorable sutures perform as well as permanent sutures without the risk of spitting out.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Permanent sutures are not creepy

I do a two layer muscle repair. The deep layer is with permanent suture and the more superficial layer is with a long lasting absorbable suture. You should not be able to see or feel the sutures. Permanent sutures are used on most intestinal surgery, joint and tendon surgery, and in most vascular surgery without any consequence. You want a long-lasting repair, and for many plastic surgeons-that means using some permanent suture. Good luck with surgery. more

Vishnu Rumalla, MD
Dallas Plastic Surgeon

Diastasis repair: permanent or dissolvable sutures

In my diastasis repairs, I always use permanent sutures because I want the security of the strength and pesistance of it as compared to dissolvable sutures. There is some variability of duration of dissolvable sutures as well as or their residual strength and if the suture strength decreases faster than the clinical need for a particular level of force, then breakage of the repair can occur. PDS suture, a dissolvable one, may last long enough in most people to not be associated with this... more

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon

www.turkeltaub.com

Permanent or dissolvable sutures for diastasis?

I would not be too concerned about this. There is a lot of things to consider when having surgery, but this issue is something for the surgeon to decide on. I use dissolvable (PDS) or permanent sutures for diastasis repair and I think that they both do a perfectly good job. The sutures will be very deep in your abdomen and you should not be able to feel them.