Bump along scar - should I be concerned? (Photo)

Question

I got a breast reduction/lift/areola reduction last august. Throughout the process I've healed well for the most part. Yesterday I noticed this when about to take a shower. I didn't notice it in the morning (but it may have been there it was dark). It doesn't hurt, itch, or burn in any way; I would've never noticed unless I happened to see it. It looks a bit purple at the top and it's squishy when I poke it. It appears to be right on the scar line. What is this, should I be concerned??

John Michael Thomassen, MD · Answer

Most likely residual suture material has caused a granuloma.  You can ask your surgeon to excise under local anesthesia in the office.

Daniel Barrett, MD · Answer

Dear Tinker.belle,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

I encourage you to visit with your surgeon for an evaluation.  It may be a suture abscess which can usually be addressed by your surgeon in the office.  Other than that it appears you healed very well from your surgery.

Scott C. Lindsay, DO · Answer

Hello and thank you for your question.
It could be a suture coming to the surface. Have your surgeon take a look at it. Best wishes!

Joseph Batac, MD · Answer

Good day and thank you for your question. Looking at the photo it seems as though you have healed well. The bump could potentially be related to a few things however given that it is in the suture line and appears superficial it might be related to a stitch or a stitch granuloma. Given the superficial nature of the issue it is something that can be examined and treated in the office. Good luck with the rest of your journey.
Cheers,Joseph Batac, M.D.Double board certified plastic surgeon

Karthik Ram, MRCS, DNB · Answer

Hello there,
Not a major issue so dont worry. It can be minor issue like expanded scar or a suture reaction inside. 
Do consult your plastic surgeon and you will definately get help. Hope this helps. Thank you for your query here.

Douglas Taranow, DO, FACOS · Answer

The area looks like a collection (fluid or puss-doubt this though).  It may drain on its own then heal up.  If it reoccurs, then it may be a small dot of skin buried that causes sweat or sebaceous material to re-accumulate.  You should see your plastic surgeon for their evaluation and if drainage or antibiotics are indicated (it does not appear infected right now).
Best wishes.
Dr. Taranow

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
From the photo, I note a well circumscribed reddish elevated lump at the infraareolar vertical scar of the previous reduction.
The most likely cause is a late infection of a retained suture, which should respond to incision and drainage. 
Visit your plastic surgeon for evaluation and treatment in the near future to prevent spread.
Best wishes...

Bump along scar - should I be concerned? (Photo)

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