Use of buried absorbable sutures for mastopexy
buried absorbable sutures are important in most procedures to allow the nonabsorbable skin sutures to be removed earlier thereby avoiding suture hatch marks, scar widening or other issues. A metulously placed intradermal running polypropylene pullout suture could be used instead of absorbable sutures, bolstered if needed with fine interrupted simple nonabsorbable sutures if needed, and/or sterristrips.
Permanent sutures can be used, but there is no certainty that these will not be problematic, and if they are, getting them out may require an operation . A discussion with your surgeon as to what actually occurred with prior surgeries will be helpful in choosing a course. The out layer can be done with a pullout suture.
All the best.
Avoiding absorbing sutures with a breast lift
Thank you for your question about your breast lift.
- Discuss the problem and the many absorbing sutures that haven't worked for you with your surgeon.
- Permanent ones can be used - if your body tolerates them, there is no need to remove them.
Always consult a Board Certified Plastic Surgeon.
Hope you find this information helpful. Best wishes.
Reaction to absorbable sutures
This is rare, but possible. I would ask whether in your experience the entire length of scar sewn with these sutures reacted badly or was it a just in a few spots. If the bad reaction was just in a few areas, you may not have had a suture reaction. The most common cause for " spitting sutures" is skin tension and placing a large sized suture too close to the skin surface. Permanent sutures could be used, but it is far from ideal. Small gage sutures placed deeply in the subdermis might be possible. In my experience , I have always found an alternative suture to use in paients who "may" have had a reaction to absorbable sutures.
Discuss the suture problem with your surgeon. It is possible to use permanent sutures in rare cases.
Yes, it's perfectly possible to use Standard sutures in the deeper layers but there's one small problem. To remove them you would have to open the incision which is another whole operation. Discuss carefully with your doctor but you could probably leave the Standard sutures in place for life
Are absorbable sutures the only option?
There are many suture materials available today. They are absorbable sutures (they disappear over time) and non-absorbable sutures (they are not designed to disappear over time). Even with these two major categories there are multiple options based on the specific material, strength, retention, and manufacturing process. The desired need and duration of function dictates which type is ideal in a given situation. In addition, any history of an adverse reaction would lead to choosing a specific type. It is possible to use non-absorbable sutures and leave them in if there are no reasons to remove them. You may be able to feel these as small bumps under the skin. Sometimes you can not feel them at all. I have had patients that had reactions to many of the absorbable sutures and non-absorbable ones were used. These were left in and she did well. Having this discussion prior to surgery could help you and your surgeon choose your best options. Best of luck.