Had a BL and BA 7 wks ago, I’m spitting stitches and have an open wound. Need advice? (photos)

Thanks for your inquiry, in general these wounds heal well,  please discuss general scar management with your surgeon, and good luck.  

It is not unusual to have a couple of sutures come out like yours have. We surgeons use long lasting dissolvable sutures which gives us the most strength and best scars. However, they are more likely to occasionally spit out. Check in with your surgeon. As long as the underlying implant is not exposed or involved, you should heal well. Good luck.

Thank you for your pictures and questions. The best piece of advice you can get at this point is to go see your surgeon. Only he or she can evaluate you and advise you on how to proceed. This is not an uncommon problem after surgery and it should be part of your care to advise you on how to deal with this. Good luck!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

After a breast lift with implants, wound healing issues can happen and sutures can work themselves out of the incisions.  Many times these will heal with diligent wound care and compliance with your doctors recommendations.  As always, it is best to follow up with your surgeon when any post operative wound healing issues arise to get the best advice on how to manage the situation.  

Hi and
welcome to our forum!
Suture
spitting is very common when deep sutures are utilized. Most deep sutures are
of the dissolvable type. However, on occasion, an individual may be
hypersensitive to the material utilized or the suture may be placed too
close to the skin surface. The body tends to extrude foreign
materials unless biologically inert. Older dissolvables were composed of
animal tissue and were destroyed over time by the body's inflammatory
reaction. Spitting sutures were more common back then. Newer dissolvables are
synthetic and dissolve naturally without inflammation. Spitting still occurs
but to a lesser extent. 
Treatment consists
of removal of the offending suture followed by a short period of
wound care. It is an annoyance and an inconvenience for the patient but
fortunately is usually short lived.  If this phenomenon occurs
in multiple places along the entire suture line, it may be wise to take
note of the type of suture utilized so it can be avoided in future surgeries.
Ultimate healing should not be affected to any significant degree.
Continue
followup with your plastic surgeon.
Best
wishes...