Is a Good Option the Debridement and Suture? (photo)

Question

I'm not a native english-spoken so sorry in advance for my writting. I had a breast reduction with implants and tummy tuck 5 weeks ago. Everything seems to be perfect but since 1 week ago I start spitting stitches and there's some small holes now. Today I saw my PS and told me That this areas need Debridement and be suture again so make the healing fast. I'm on antibiotics now. So this "cleaning" and closing is a good idea?

Stefan Mark Szczerba, MD · Answer

Hi, I would remove any sutures that are coming to the surface of the skin. I then would clean up any tissue that need to be trimmed off however I would not recommend stitching at this time. After you have completely healed, I would have you come into the office to see what scars need a revision. Best wishes!!

Allen Gabriel, MD, FACS · Answer

Spitting sutures are not uncommon and unfortunately they do happen.   I would follow your plastic surgeons instructions.  Best of luck.

Kenneth Hughes, MD · Answer

Breast lift and implants surgery patients may have suture spitting which can be remedied by local wound care and suture removal.  In the absence of infection, this is appropriate management.

Aldo Guerra, MD · Answer

Hello and thanks for sharing. All the photos you have shown appear to indeed demonstrate suture spitting. What your PS has offered seems a reasonable approach. Perhaps some areas will respond with more conservative management. Keep in close contact with your PS. Hope this helps - Dr. Aldo.

Diego Fierro, MD · Answer

Hello, I am Dr. Diego Fierro from Guadalajara. I do not think it is necessary to perform surgical debridement, what I can recommend is to cleanse, and start with Rifocyn Spray, if you do not find it you can use kitoscell gel.

Is a Good Option the Debridement and Suture? (photo)

Answers (5)