When Should Breast Augmentation Sutures Be Removed?
- Asked by imadvice in New York
- 4 years ago
My crease incision from breast augmentation will be closed with external nylon sutures. I have heard different stories as to the timing of suture removal. Is 3 weeks too long for the nylon suture to be left in place? Will my skin grow over the sutures? What are some of the possible complications with these types of sutures left in place for that long? Your insights will be appreciated. Thanks very much.
Removable sutures and the timing for removal
Removable sutures need to be removed relatively soon after placement to minimize noticeable scarring, but the exact timing depends upon what other measures have been used to support the wound. If other dissolving sutures are placed under the Nylon sutures, then the Nylon can be removed earlier with little risk of wound disruption.
Ask your surgeon as the exact timing depends upon the technique he or she used.
Suture Removal After Breast Augmentation
The decision in using dissolvable sutures vs non-dissolvable sutures is dependent on the preference of the surgeon.
Dissolvable sutures will last longer to maintain the integrity of the wound edges. However, if they are placed superficially at the skin edge, they may dissolve too quickly and lead to the small suture abscess/infection.
These little suture abscesses can lead to a noticeable scar. Thus, some surgeons will use non-dissolvable sutures on the superficial skin closure.
In general, most sutures that are non-dissolvable should be removed in 5-7 days.
Suture removal after breast augmentation
Thanks for your question -
Each surgeon may use different techniques to close incisions after breast augmentation. In our San Francisco area practice we do not use sutures that need to be removed.
When thinking about permanent sutures (like nylon or prolene) sometimes leaving these sutures in for more than a week can leave "track marks" along the incision. This can be avoided when using these types of suture by varying the placement of the suture, for example placing the suture with a "running subcuticular" where the suture ends exit the ends of the wound only avoids the potential scar issues of a traditional "baseball" stitch.
I hope this helps.
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Leaving nylon stitch in for 3 weeks depends on technique.
This is perfectly acceptable depending on the technique used to place the nylon sutures. In many cases the stitch runs beneath the surface and comes through the skin only at the beginning and end of the incision (subcuticular). Leaving it in for 3 weeks tends to keep the wound from spreading wide during the most active part of the healing process.
If howeever, individual stitches are placed, then generally, you would want to have them removed prior to 3 weeks to avoid stitch marks.
Some surgeons actually bury a permanent stitch (polypropylene) beneath the surface for 6 months prior to removing it .
Check with your surgeon
Thank you for your question.
Three weeks is too long to leave the sutures in place. They should generally be removed within five to ten days. If the sutures are left in too long, this could cause the scar to heal unevenly.
Most surgeons use dissovable sutures, but removable sutures are also okay. Usually, the outside sutures are removed within a few days. Make sure that you speak with your board certified plastic surgeon to avoid any possible compllications.
Have a great day!
Possible additional scarring of breast augmentation incision line
External sutures left in too long will result in a number of small dots located on either side of the incision line. The sutures themselves are a form of trauma that result in small puncture wounds. The body will try to heal the area by having cells travel down the sutures making small scar dots if left in too long.
On the trunk, I do not like to leave external sutures in place for longer than 10 days. It would be rare to have additional scarring due to sutures in place for 10 days or less.
Breast augmentation suture removal
Leaving sutures in place for too long can lead to additional scarring.
Factors determining the timing of suture removal depend on the type of skin closure.
1. If there is individual sutures going across the incision, they usually have to be removed within 5-7 days. Otherwise they can cause residual/permanent marks in the skin after they are removed.
2. If you have a removable sub-cuticular closure (in which case you can only see the suture at the ends of your incision), then they can be removed up to 2 weeks after surgery with no problem.
3. If you have a absorbable sub-cuticular closure (no stitches are visible), then you never have to have the sutures removed and they will go away on their own over a period of several weeks.
The most common approaches are # 2 and #3. However, if performed properly, all approaches can yield a good result.
I hope you find this information helpful.
Good luck with your procedure.
Sutures and stitch removal after breast surgery
Wounds will epithelialize within 48 hours given an optimal environment for healing and normal perfusion pressures of the skin edges. After breast surgery, a wound will epithelialize within 48 hours, but the underlying tissue needs some time to heal. The underlying tissue takes longer to heal and that is one reason why absorbable sutures are placed in this layer. You should typically wait 5 to 7 days for suture removal.
I don't use visible sutures that need removal
As you have seen from the answers given most surgeons use dissolvable stitches that do not need removal and are not visible. Speak with your surgeon regarding the use of outside/visible sutures and the reasoning. If they are used, they are typically taken out at about 7days. Make sure your surgeon is board certified in plastic surgery. Good luck.
Breast augmentation does not require removable sutures.
Most experienced plastic surgeons -- at least in New York -- use dissolvable buried sutures to close breast augmentation incisions. You don't see the suture at all. This gives you better scars, and stitches don't have to be removed.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.