Is this a spitting stitch? (Photo)

Question

There is a white bump on my incision line that has been there for about 2 weeks now. I'm currently 5 weeks post op. If so will it go away? Or do I need to do anything for it? My ps is out of state so I cannot go to him unfortunately.

Vishnu Rumalla, MD · Answer

Thanks for your inquiry,  by the picture it may be a suture or it may be some early scar formation, hart to tell without an exam.  Maybe try your primary care doctor, good luck.

Jerome Edelstein, MD · Answer

Hello,Thank you for your question. It may be, or it may be a pimple. It doesn't appear concerning. I recommend that you contact your Plastic Surgeon and let them advise you. All the best

Aldo Guerra, MD · Answer

Hello boobies4me.It does not look like a spitting stitch, but a plugge or blocked gland. You should go see your plastic surgeon for a full evaluation and treatment plan. Best wishes, Dr. Aldo

Robert D. Wilcox, MD · Answer

Dear Boobies4Me,
  
 
  
The clarity of the picture is a little difficulty to tell, but typically a stitch spitting up will look like a small whitehead and when you are able to see the material, you can pluck it out.  You should at least contact your treating surgeon with photographs and e-mail.

Bruce K. Smith, MD · Answer

There are many irregularities that can occur in the suture line after all types of surgery, ( spitting absorbable sutures, scar tissue, folliculitis or small cysts (milia). I would recommend a quick visit to your operating surgeon. It appears to be a small epidermal inclusion cyst that could be easily unroofed and extracted. Good luck to you.

Erika Sato, MD, FACS · Answer

A spitting suture usually gets irritated over time as it is trying to come out. This more looks like a pimple ("white head"). Two weeks with no change does not sound typical of a pimple. Can you video chant with your PS (skype or  facetime)? or at least email him/her and send a photo?  You can also try to see a PS in your area. Not every PS will be open to seeing a patient that had their surgery out of  town, but the going rate is they are is ~$350.

Is this a spitting stitch? (Photo)

Answers (6)

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