Suture granuloma after Tummy Tuck 8 years ago. If it is repaired, will it happen again?

I would agree that removing the suture granuloma should solve your problem. Since you are several years past your surgery, your muscles have healed and  should not present a problem to you at this point.

Thank you for your question.  Suture granulomas have many causes, but are usually present from a reaction to either a dissolvable or permanent suture.  Once the suture is removed, the granuloma typically resolves.  Since your tummy tuck was performed 2 years ago, it is unlikely that the suture removal will cause any change in the muscle  At this point, the muscles should have scarred together and should no longer require the suture to hold them.  If you have any question, I would suggest discussing it with your plastic surgeon.Best of luck.Jeff Rockmore

 a suture granule is always associated with a permanant suture. Permanent sutures are used because it takes 6 moths or more for enough scar tissue to form between the repaired muscle for the muscles not to separate.  Dissolvable sutures don't stick around long enough to be useful.  Once u have enough scar tissue the permanent suture become useless because they have done their job.  So taking out the useless permanent suture will not cause the muscles to separate. 

If the suture that is involved with the suture granuloma is a skin suture, the procedure is very limited to the skin and a relatively easy procedure to manage. If the suture involved is one of the deeper facial muscle repair sutures, a deeper removal is needed and may pose some of the concerns you bring up about weakness of the muscles. Your plastic surgeon should be able to assess this and analyze the issue.

It is unlikely that you will have a recurrence suture granuloma after your revision. in general this procedure should be relatively limited in scope.In working with a plastic surgeon, it is essential to ensure
that they are certified by the American Board of Plastic Surgery.



I wish you the best,



Dr. Gabbay.

Thank you for your question, and I am sorry that you have had these issues after your tummy tuck.  Removal of your suture granuloma should not disrupt your fully-healed muscle repair, and additional sutures will not be required.  The only repair will likely be your skin from where the incision is made to remove the granuloma.  Hope this helps.   

Hello, Suture granulomas usually happen when non absorbable suture is used or if the dissolving process did not happen for some reason. Removing the cause of that granuloma should resolve this issue. Take good care, Dr. Fernandez Goico

Thanks for your question. That's somewhat uncommon to happen so late after surgery, but it can occur. By now, you have enough normal scar tissue to hold the muscle repair in its current location even if this suture is removed. I would probably use absorbable sutures this time. Best wishes.

It´s my pleasure to answer your question.Can you please post a picture to see the granuloma.Sincerely,Dr. Aramis VegaBoard Certified Plastic Surgeon