Sutures causing small bumps where the are working out after Zplasty on face. What should I do?

Unfortunately this happens once in a while and every plastic surgeon knows it.  We call it suture spitting.  Sorry that it's happening.I agree that you should see your surgeon immediately.  In my experience, if I can get the irritating suture out right away, it really turns into a big nothing and the wound heals fine.  But if you let it sit and continually stay irritated, then it can affect your scar later.I'm going to leave a link to a W-plasty I did on the face a while back just so you know that the operation does work nicely.Good Luck!

Thank you for the question.  It is common to use a couple layers of suture when doing a Z-plasty or scar revision.  The bottom layer is hidden under the skin and takes tension off of the incision hopefully producing a better scar.  A dissolvable suture is usually used for the deeper layer, but sometimes the body has a hard time dissolving the knots.  This can cause what is happening to you currently and is quite manageable.  You should call your Plastic Surgeon and make an appointment to follow-up about your concerns.  Trying to pull on the suture showing or digging them out at home leaves you open to possibly causing an infection.  Good luck with everything!