11 months post-op tummy tuck two suture granulomas (Photo)

Thank you for your photograph. The granulomas should easily be treated under locally anesthesia with simple removal of the sutures. This should not affect your overall result as you are well healed, and your abdominal contour looks excellent. I am not aware that having surgery can result in high platelet counts. This would be something that would be better addressed with a hematologist, as suggested by your plastic surgeon.

Thank you for your question regarding your post-surgery platelet levels. It’s understandable to be concerned about this change, especially after recent procedures. Elevated platelet counts can occur for a variety of reasons, some of which may be related to surgery and healing, while others may be unrelated.

After any major surgery, including abdominoplasty or implant removal, the body naturally increases platelet production as part of the healing process. This can sometimes lead to a temporary rise in platelet count as the body repairs tissues and responds to any minor inflammation or stress from surgery. Given that you are also dealing with suture granulomas, which are small inflammatory responses to foreign material (in this case, sutures), your body may be reacting slightly more to address this as well.

However, since your surgeon advised consulting with a primary care physician, it’s important to follow up with them. Persistent elevation in platelets can also be related to other factors, such as stress, chronic inflammation, or other health issues unrelated to surgery. Blood tests and a thorough examination by your primary care provider can help pinpoint any underlying causes and guide you on the best course of action if further intervention is needed.

Sincerely,
Dr. Katzen

You are the unwitting victim of the gaslighting regarding breast implants and systemic illness. The BII industry is a huge money maker, and many of my colleagues are part and parcel to the fraud being committed on susceptible women. Even if you feel better after you utterly unnecessary total intact capsulectomy (misnomer 'en bloc', which it wasn't), your breast implants were not the cause, nor are they the cause of your elevated platelet count. The August issue of the Aesthetic Surgery Journal performed a prospective trial of explantation with NO CAPSULE REMOVAL. The result was the same as for women who had a total intact capsulectomy, most women had improvements to symptoms. As for your real medical issue, the granulomas, you should return to your surgeon for a debridement of the granulomas; their is foreign body material that needs to be remove, most likely a permanent suture with bacterial contamination.

Your elevated platelet count is not related to surgery and could have a variety of causes. Please go visit with your primary care. If need, go visit with a hematologist.

Contacting your primary care physician or a hematologist is the correct next step to exploring your abnormal platelet count. There are a host of potential reasons for platelets to be off. It should not be assumed that since you had surgery this year that the abnormal bloodwork is related.

Without including numbers, your question likes context, and therefore it’s difficult to address in any meaningful way.
Issues related to blood counts are not in the realm of plastic surgery.
If your normal is significantly outside the realm of normal values than you may want to be evaluated by hematologist.
Start talking to your primary care doctor.
Best,
Mats Hagstrom MD