After having my breasts reduced, I ended up with complications from the disolveable stitches. Five months have past and I still have areas that are erupting with blood and puss. Then I have to go back to my surgeon to get those stitches removed surgically. Are there any alternatives to these stitches, since I am planning on a tummy tuck?
Answer: You should find out what type of dissolvable sutures were used after you breast reduction surgery. Vicryl/polysorb sutures are braided dissolvable sutures that can become quite inflamed when close to the surface of the skin. My preference is to use non-braided dissolvable sutures at the skin level. These sutures do not cause the same degree of inflammation.
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CONTACT NOW Answer: You should find out what type of dissolvable sutures were used after you breast reduction surgery. Vicryl/polysorb sutures are braided dissolvable sutures that can become quite inflamed when close to the surface of the skin. My preference is to use non-braided dissolvable sutures at the skin level. These sutures do not cause the same degree of inflammation.
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CONTACT NOW February 3, 2014
Answer: Stitch 'spitting' after breast surgery and tummy-tuck Thank you for your question.We call those 'events' "stitch-spitting" when the sutures have not melted yet and your body is trying to push them out. Vicryl sutures is notorious for this and the reaction can be quite inflammatory. I don't use vicryl much anymore unless I am very deep into the tissues.Better ones are PDS and Monocryl. They don't get 'rejected' as much and when they do, it is usually more benign compared to vicryl.Considering that #breast surgery and #tummytuck ( #abdominoplasty ) involve a lot of fine stitching, it is not uncommon to have 1 or 2 of those.Once the external stitches removed (when used), I then recommend my #Toronto, #RichmondHill, #Peterborough and #NorthumberlandCounty (one of the prettiest county in Ontario!) patients to massage their incisions twice daily with Vitamin E oil or Bio-Oil; the mechanical massaging help to move your skin internal fluids around the stitches and favour their quick melting.Best of luck with your procedure!With regards,Dr. Marc DuPere, Toronto plastic surgeon, 416-929-9800
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CONTACT NOW February 3, 2014
Answer: Stitch 'spitting' after breast surgery and tummy-tuck Thank you for your question.We call those 'events' "stitch-spitting" when the sutures have not melted yet and your body is trying to push them out. Vicryl sutures is notorious for this and the reaction can be quite inflammatory. I don't use vicryl much anymore unless I am very deep into the tissues.Better ones are PDS and Monocryl. They don't get 'rejected' as much and when they do, it is usually more benign compared to vicryl.Considering that #breast surgery and #tummytuck ( #abdominoplasty ) involve a lot of fine stitching, it is not uncommon to have 1 or 2 of those.Once the external stitches removed (when used), I then recommend my #Toronto, #RichmondHill, #Peterborough and #NorthumberlandCounty (one of the prettiest county in Ontario!) patients to massage their incisions twice daily with Vitamin E oil or Bio-Oil; the mechanical massaging help to move your skin internal fluids around the stitches and favour their quick melting.Best of luck with your procedure!With regards,Dr. Marc DuPere, Toronto plastic surgeon, 416-929-9800
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February 1, 2014
Answer: Resorbable suture problems after tummy Tuck Thank you for your question. I agree with other surgeons that surgical technique is often the most important determination at of problems with observable sutures after tummy tuck. If the sutures are placed in deep and not to close to the skin suture spitting and problems are much less common. Monofilament sutures are less likely to submit and braided sutures.Express your concerns to your plastic surgeon and follow the surgeons advice. There are also new absorbable staples which can be placed deeply however I have not seen long-term studies on the incidence of spitting.
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CONTACT NOW February 1, 2014
Answer: Resorbable suture problems after tummy Tuck Thank you for your question. I agree with other surgeons that surgical technique is often the most important determination at of problems with observable sutures after tummy tuck. If the sutures are placed in deep and not to close to the skin suture spitting and problems are much less common. Monofilament sutures are less likely to submit and braided sutures.Express your concerns to your plastic surgeon and follow the surgeons advice. There are also new absorbable staples which can be placed deeply however I have not seen long-term studies on the incidence of spitting.
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August 7, 2015
Answer: Suture remnants after Tummy Tuck Many patients can develop small wounds from sutures and knots that do not dissolve and erode through the skin. This may be due to the type of suture used or the suturing technique. It often occurs in large incisions seen with breast lifts, breast reductions and tummy tucks. I recommend that you address your concerns with a plastic surgeon prior to surgery.
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Answer: Suture remnants after Tummy Tuck Many patients can develop small wounds from sutures and knots that do not dissolve and erode through the skin. This may be due to the type of suture used or the suturing technique. It often occurs in large incisions seen with breast lifts, breast reductions and tummy tucks. I recommend that you address your concerns with a plastic surgeon prior to surgery.
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January 27, 2014
Answer: Problems with dissolvable stitches From time to time I have a patient whose body does not react well to dissolvable sutures. One alternative that I have used on occasion is a pull-out stitch. Basically this is a running suture that is removed by your surgeon about 7 to 10 days after surgery. Nonetheless, some deeper sutures that can't be easily removed will also be necessary. However, it is usually the superficial sutures that can cause a problem. Best of luck.
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Answer: Problems with dissolvable stitches From time to time I have a patient whose body does not react well to dissolvable sutures. One alternative that I have used on occasion is a pull-out stitch. Basically this is a running suture that is removed by your surgeon about 7 to 10 days after surgery. Nonetheless, some deeper sutures that can't be easily removed will also be necessary. However, it is usually the superficial sutures that can cause a problem. Best of luck.
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