Alternative for Metal Sutures Used to Close Tummy Tuck Sutures?
- Asked by tlsims in columbia, mo
- 4 years ago
Are metal staples used to close Tummy Tuck incision? If so, is there an alternative for someone like me who is allergic to those metal staples.
Incision closure after Tummy Tuck
I would not use metal staples to close a Tummy Tuck incision. In general, a closure technique that places all the sutures beneath the skin gives a better result. External sutures or staples that go thru the skin usually end up with more scarring.
Minimizing scarring is typically one of the top goals of plastic surgeons. I wouldn't recommend going to a plastic surgeon who uses external metal staples to close the incision. in my opinion the only advantage of external staples is saving time. Our goal is to get the patient the best scar possible.
Sutures used in tummy tucks
Most surgeons use dissolvable sutures that you can't see. The skin is typically covered with a type of tissue glue or steri-strips(butterfly tapes). This done to avoid having additional scarring from use of staples or external sutures. There are many alternatives available. Discuss with your surgeon what type of closure they prefer and let them know your concerns. Anything that you are allergic to would not be used in surgery.
Metal Staples Are An Unusual Choice to Close A Tummy Tuck
Staples would not be my first choice because of potential scarring. I prefer a stitch that absorbs and stays under the skin. I use glue for the top layer to allow patients to shower right after surgery ,and this also keeps the area clean.
Staples are fast, so I'd question the priorities of your surgeon if they insisted on this technique.
Most of the surgeons I know do not use metal staples for closure of abdominoplasty
Closure of tummy tuck incisions in my Santa Rosa practice is done with an absorbable suture that does not show. All that needs to be removed is a knot at either end of the incision. I do not know many surgeons who close tummy tucks with staples, but you can always ask for our surgeon not to use them.
Staples for Tummy Tuck Closure
I think you have us plastic surgeons confused with another surgical specialty. I guess you could use staple but I think most plastic surgeons used buried, absorbing suture that doesn't need to be removed. It gives better strength over a longer period of time than anything that would need to be removed.
Metal staples are not routinely used in tummy tucks
In general, metal staples used in a tummy tuck incision lead to a very poor appearing scar. For that reason, most plastic surgeons, myself included, avoid using these during abdominoplasty. If you think about, tummy tuck is an entirely elective procedure designed to improve your appearance. Giving a patient a scar that looks ugly is not consistent with the goals of surgery. If a surgeon routinely uses metal staples to close his tummy tuck incision, my fear is that he is more concerned with saving time during the closure and less concerned about the ultimate appearance of the incision.
Hope this helps. Best of luck.
Tummy Tuck Closure
I would run the other way if you see a plastic surgeon that closes the incision with staples.
Most plastic surgeons use sutures that are placed just under the skin to close the tummy tuck incision. These sutures are not visualized and are absorbable.
Metal staples are not routine for a Plastic Surgeon.
There is also currently available a subcuticular staple that saves OR time and I believe leaves a scar that is better than the routine vicryl suture closure. After the INSORB staples are placed the skin is closed at the edge with a running 4-0 vicryl suture.
You need to ask the surgeon who said that he would use the metal staples why he would in your case.
Alternative for using metal staples to close tummy Tuck incision?
Plastic surgeons live and die by the appearance of their work. Very few of us and no one that I personally know still uses metal staples to close wounds. Staples are quick but always leave classic railroad dots along the scar if left in place more than a few days. The custom still persists with some general surgeons and orthopedic surgeons who may not be as focused on their scar appearance.
A MUCH better scar results from careful handling of the tissues and closure with a dissolving suture (such as Monocryl or PDS) inside the top layer of he skin.
I would make sure your surgeon follows the preferences espoused by every single post here.
Peter A Aldea, MD, FACS
Metal staples in Tummy Tucks
There are a variety of ways to close a tummy tuck incision. This varies form surgeon to surgeon. I usually close my tummy tuck incisions with absorbable sutures that do not need to be removed. Talk to your surgeon about how /she plans to close your incsion. Let them know that you have an allergy to staples.