They begin like a pimple, break open with fluid and puss on my incision line(after tummy tuck). I’ve been opened up and had irritated tissue cleaned out twice after the tummy tuck(that included muscle repair and hernia repair). Each time irritated tissue begins to pour out of incision. This time we are trying steroid injections. It seems to be keeping them smaller but I am still in a great deal of pain and they are still evident. My doctor says it’s just abnormal healing.
Answer: Tummy Tuck Wound Hello and that you for your question. Based on your photos it seems like you have what is known as a "stitch abscess". This typically occurs when the body rejects the suture material that is used to close an abdominoplasty. This is a common occurrence. I would highly recommend you continue following up with your plastic surgeon to perform wound care of the affected areas. There is no magic or quick fix to this problem. It typically takes the body a few months to eventually heal and close the wound. Hope this helps answer question,Alex Zuriarrain, MD - Cleveland Clinic Trained Plastic Surgeon
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Answer: Tummy Tuck Wound Hello and that you for your question. Based on your photos it seems like you have what is known as a "stitch abscess". This typically occurs when the body rejects the suture material that is used to close an abdominoplasty. This is a common occurrence. I would highly recommend you continue following up with your plastic surgeon to perform wound care of the affected areas. There is no magic or quick fix to this problem. It typically takes the body a few months to eventually heal and close the wound. Hope this helps answer question,Alex Zuriarrain, MD - Cleveland Clinic Trained Plastic Surgeon
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December 5, 2017
Answer: Wound healing concern THanks for your inquiry and pictures, your surgeon appears to be diligently taking care of you. Sutures do spit out and cause small wounds. Ask your surgeon about Aquacel, a silver dressing. I have had good luck speeding recovery on little wound like this with Aquacel, good luck.
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December 5, 2017
Answer: Wound healing concern THanks for your inquiry and pictures, your surgeon appears to be diligently taking care of you. Sutures do spit out and cause small wounds. Ask your surgeon about Aquacel, a silver dressing. I have had good luck speeding recovery on little wound like this with Aquacel, good luck.
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December 5, 2017
Answer: Healing Sounds like you are dealing with "stitch abscess", or problems dealing with deep absorbable sutures. When this happens I recommend warm compresses, and only add antibiotics if redness spreads around the open area. Usually the body dissolves the areas causing the problems after 2-3 episodes, or it will spit the stitches out, solving the problem. If my patients continue having the problem in a specific spot after 3-4 months, then I will try to find and remove the stitch in the office. I would never inject steroids into these areas. Good luck
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December 5, 2017
Answer: Healing Sounds like you are dealing with "stitch abscess", or problems dealing with deep absorbable sutures. When this happens I recommend warm compresses, and only add antibiotics if redness spreads around the open area. Usually the body dissolves the areas causing the problems after 2-3 episodes, or it will spit the stitches out, solving the problem. If my patients continue having the problem in a specific spot after 3-4 months, then I will try to find and remove the stitch in the office. I would never inject steroids into these areas. Good luck
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December 5, 2017
Answer: Is there anything more that can be done for continuous sores (internal wounds) on incision line? Yes, the healing is unusual. In cases as presented here, I offer PRP injection therapies with laser red light. I have had very goos success to increase the healing time.
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December 5, 2017
Answer: Is there anything more that can be done for continuous sores (internal wounds) on incision line? Yes, the healing is unusual. In cases as presented here, I offer PRP injection therapies with laser red light. I have had very goos success to increase the healing time.
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December 5, 2017
Answer: Localised ares of wound breakdown Hello, they look as if they are associated with the deep sutures needed to be put in on closing the tummy. As you say the body is spitting them out each time. The do appear to be closing after the elimination of this tissue. The third photo does seem to be showing a bit of disruption to the underlying fat. This would also irritate the skin, slowly make the skin bra down then ooze some clear fatty fluid before healing. I recommend to my patients Vit B complexes, Zinc and Manganese and these can be found in multi vit preparations. All these can help with wound healing. Smoking causes 70% wound complications in tummy tucks and this includes any nicotine based substitutions. Try to avoid smoky atmospheres. I hope this helps.
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December 5, 2017
Answer: Localised ares of wound breakdown Hello, they look as if they are associated with the deep sutures needed to be put in on closing the tummy. As you say the body is spitting them out each time. The do appear to be closing after the elimination of this tissue. The third photo does seem to be showing a bit of disruption to the underlying fat. This would also irritate the skin, slowly make the skin bra down then ooze some clear fatty fluid before healing. I recommend to my patients Vit B complexes, Zinc and Manganese and these can be found in multi vit preparations. All these can help with wound healing. Smoking causes 70% wound complications in tummy tucks and this includes any nicotine based substitutions. Try to avoid smoky atmospheres. I hope this helps.
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