Forgot to Remove a Dissolvable Stitch After Breast Lift?

Question

I had a breast lift just over 3 weeks ago. Today I went to see my doctor for my last check up. I only just noticed that he forgot to take out a stitch on the bottom of the vertical incision. I am 99% sure that he used dissolvable stitches, so is it safe to leave that one stitch sticking out? Will it dissolve inside my breast and will the outside bit just fall off or should I go back to have it removed?

Tom J. Pousti, MD · Answer

It will be best for you to call your plastic surgeon's office and see how he wishes to handle your specific situation.  Remember that he is ultimately responsible for  the results of your surgery;  you may receive conflicting/confusing advice online.

	Best wishes.

Jeffrey J. Roth, MD, FACS · Answer

Hard to make any clinical recommendations without photos or an exam. You are 
going through an active healing process that will take months to 
complete.  Most plastic surgeons put 
specific sutures in certain tissues for a reason.  In a breast augmentation and mastopexy, most 
usually close the tissue in layers to keep the tissue together and to 
take tension off the wound.  Deep layers are usually absorbable and the 
skin sutures non absorbable that have to be taken out.  Sometimes 
sutures from the inside will spit out through the wound.  If this is the
 case you may have a little opening.  This is usually OK, and will heal,
  but should be seen by your plastic surgeon or whoever is covering for 
him/her.   I tell my patients... No kitchen surgery, come in and we will take
 a look.  Please continue to inform your board certified plastic surgeon.

Stefan Mark Szczerba, MD · Answer

My recommendation is to trim it or remove it.  In order for your body to dissolve a stitch, inflammation is required.  The more inflammation, the longer it takes your scar to look good.  If it is a lot of trouble to go back, don't worry, it will likely fall off without consequence.

S. Larry Schlesinger, MD, FACS · Answer

I am certain that your plastic surgeon wants to hear about your stitch.  Each plastic surgeon has his or her own policy on sutures.  He or she may not have forgotten this suture, but actually plans to see you at least one more time. 

	In our practice as in others, we continue to treat post breast lift patients until the suture line looks as good as it can for the patient's genetics.  I use a very special brand of tape on the suture line and see patients back every couple weeks to folllow wound healing until the wounds are no longer red.

Jourdan Gottlieb, MD · Answer

Once noticed most patients find these to be such a nuisance that it would best be removed. Thanks and best wishes.

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