Knot Protruding Under Belly Button but Above Scar? (photo)

I am 6 months post op from a full tummy tuck. A protruding hard knot formed under my belly button but above my scar. Its not sensitive at all. I thought it was scar tissue forming, but now I'm not so sure. What could this be and how can I get rid of it? Does it have anything to do with the bump forming on my scar?

Doctor Answers 8

Knot After Tummy Tuck

   The knot is likely a suture knot with surrounding inflammation.  Removal by your plastic surgeon is best.  The healing should be uneventful and should not compromise your end result.  Kenneth Hughes, MD Los Angeles, CA

Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

Knot Protruding After Tummy Tuck

Thank you for the question. The knot or bump is most likely a reaction to sutures placed deep to the incision. Your body will sometimes form a cyst that might become infected. You should return to your surgeon for excision.

Lisa M. DiFrancesco, MD
Atlanta Plastic Surgeon
4.8 out of 5 stars 34 reviews

Knot Protruding Under Belly Button but Above Scar?

This is a residual suture retention cyst that needs excision ASAP or it will continue to enlarge and could become infected. Seek removal 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

Possible suture knot following an abdominoplasty

The bump in the central portion of your scar is most likely a suture knot that is possibly infected and needs to be removed.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Bumps after tummy tuck

While the bump along your incision represents either a reaction to suture (more likely) or an ingrown hair (less likely), the bump below your belly button probably represents a fluid collection or an area where fat under the skin did not get enough blood flow and is inflamed. If it is due to fluid your doctor may drain it with a needle. If it is firm and due to fat then massage (and time) may help. Best of luck. 

Dana Goldberg, MD
Jupiter Plastic Surgeon
5.0 out of 5 stars 34 reviews

Bump on abdominoplasty incision

This is a spitting suture or a granuloma.  If you can feel the suture then extracting it will usually resolve the problem.  If there is a feeling of fluid under the skin there may be a localized infection as well.  This should be expressed and the suture removed if present.  Your scars look also raised and red.  You should use some compression such as the Gelzone wrap.  This will calm the scar down and flatten it. 

Benjamin Chu, MD, FACS
Honolulu Plastic Surgeon
4.8 out of 5 stars 92 reviews

Bump on scar after tummy tuck

I agree with Dr. Gottlieb. Your skin is likely reacting to a suture under the skin, causing this scar to form. Your surgeon can correct this under local anesthesia. He will make an incision over the bump, remove the suture, and remove any excess scar tissue that formed. Best of luck.

Paul Wigoda, MD
Fort Lauderdale Plastic Surgeon
5.0 out of 5 stars 29 reviews

Knot Protruding Under Belly Button but Above Scar?

This looks like it may be a suture granuloma. There is likely an undissolved suture under this that your surgeon can remove in the office with some local anesthesia. Call and make an appointment, let the surgeon know the problem so there will be enough time allotted. 

All the best. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.