I believe the permanent stitch around my areola has shifted or popped. I have an open wound under my nipple. What can be done?

Dear kiki_vixen,I understand your concern. However, without a proper assessment it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment. Only after thorough examination you can get proper recommendations and advice.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

It is difficult to definitively determine what the issue is without a photo, but it sounds like a small area of your incision has opened. This area likely will heal without further issues with the proper wound care. I recommend that you contact your plastic surgeon for a follow-up appointment as soon as possible to begin caring for this area. Good luck!

You should see your surgeon for an evaluation and recommendations on wound care, even more so if you had an augmentation at the same time.  If your suture popped or released, you are going to have stretching of your scar to some degree.  Timing to repair this will depend on a lot of things, including your surgeon's judgment.  It the suture pulled through the tissue, re-doing it seems like it will also fail again.  So be careful with how your proceed from this point forward.

Sorry for your problem and I would see my surgeon or other expert in the area and be evaluated in person to avoid further problems Dr Corbin

Usually, most of the deep sutures that are placed dissolve on their own. Sometimes, the sutures will work their way to the surface. We call this a spitting suture. With removal of the offending suture and standard wound care,these usually resolve on their own. If, however, this is a permanent suture placed around the areola, this may need to be removed. I would recommend you go back and see your chosen plastic surgeon.