Protruding suture after Facelift stuck on something?

A suture from a previous Facelift that's just under the surface about two inches below and behind my ear poking out. The plastic surgeon in Costa Rica told me to have it removed. The primary care physician here tried to remove it, but it seems to be "stuck" on something. He got some to come out, but when he tugs, it seems to be a couple of inches lower than the part he can access. He sees it pulling beneath the skin forward toward my chin just under the jawline directly below my earlobe. It now feels swollen and sore.

What is this? Is this suture holding anything? What could be keeping it from coming out? Will I have problems with something "falling" if I have it removed? Any idea why it won't come out when the doctor tried to gently pull it out?

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7 answers to “Protruding suture after Facelift...”

A: Unwanted Stitch

Richard W. Fleming, MD

First, you should contact the surgeon in Costa Rica to get a copy of the operative report. With that in hand, see an experienced facelift surgeon.

A: See a facelift specialist

David Shafer, MD

 It sounds like you have a deep suture causing problems.  It is best to see a facelift specialist for evaluation and possible removal of the suture.  There are many possibilities about what is going on with the suture and a specialist would have the best idea on how to proceed.  Good luck... more

A: The Face Lift suture should be evaluated and removed by a specialist.

Eric M. Joseph, MD

You should consult a board-certified plastic or facial plastic surgeon that performs this operation regularly. Permanent sutures may extrude, and removing them more than 6 mos following face lift does not usually affect your appearance. Tenderness could mean infection, so you should have this looked at by a... more

A: Get to a local plastic surgeon

Robert W. Kessler, MD

There are immediate concerns and long term concerns here. The pain and swelling you have may simply be local irritation from the attempt at removing the suture. However, there is the possibility that the area may have been contaminated by the failed attempt at removing the suture and you may now have a... more

A: Complications after surgery abroad

Pamela B. Rosen, MD

Unfortunately the only person who really knows what that suture is attached to is the surgeon who put it there in the first place.  It is probably some sort of a suspension suture which was used to elevate the tissues in your neck, under your chin.  Sometimes these sutures are barbed, rendering them... more

A: Your best bet is with your original doctor or at least a facelift specialist

Steven J. Pearlman, MD

There are a number of things that need to be considered before removing this suture. First, how long has it been since surgery? Is it a dissolvable suture or a permanent suture? Third, is it a suspension suture or is the knot right over the area that it is holding? You might contact your original surgeon with... more

A: Facelift suture coming out

Marcelo Hochman, MD

If the suture is protruding through the skin it should be removed since it could become infected. If a barbed suture was used that could account for the tugging further out on the skin. In any case, any facial plastic surgeon would be able to remove this.

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