Knots Under my Incision Scar

I recently had a TT, I have been healing very well, but in the beginning of this week I noticed 2 small knots under my scar, one on the left and one on the right, I have been massaging them regularly (dont know if that helps) and they seem to be going away, when I touch the one on the right it does not hurt but it seems there is a line leading away from it that hurts a little (used to feel that pain in the first 6 weeks of healing. Sorry I dont have a pic, its not visible just by looking.

Doctor Answers 20


It sounds like what you're feeling are palpable sutures. They usually become less palpable as you heal, or they may also "spit", which means that your body may try to eject them if they're close enough to the surface. Massage will help along with time. If you sense that they're beginning to surface, please see your surgeon who can remove them.

Toronto Plastic Surgeon
4.5 out of 5 stars 15 reviews

Quite normal

It is not clear how long ago you had your surgery but it is normal to feel some firm areas under the scar for a few months. There are sutures that dissolve over weeks/months (sometimes they come through the surface and "spit"....easily removed with normal healing). There also can be areas of scarring within the deeper layers that feel "bumpy" and can be painful. Time and massage will take care of the majority of these issues.

Be patient and follow up with your plastic surgeon for further reassurance.   

David J. Levens, MD
Coral Springs Plastic Surgeon
5.0 out of 5 stars 59 reviews

Knots after tummy tuck

Thank you for your question.  Occasional painful sensations and palpable textural irregularities are common occurrences during the healing process after tummy tuck, and generally not great cause for concern.  The lumps you're feeling may be exactly what you call them - knots, from the dissolvable suture material used to close your incision, and possible your body's reaction to their presence.  If massage seems to be helping, by all means continue.  If you notice any knots or suture material protruding through the incision itself, let your plastic surgeon know, so that they may be removed without causing any further problems.

Knots Under The Incision Scars

The knots are the deep sutures healing and it is normal to feel them. The incisions will heal for several weeks to months. You may even experience some coming out of the skin from time to time, which is also normal. In a year your scars will heal and look great. I hope this has helped.

Rady Rahban, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 77 reviews

Scar Knots

Sutures used to close tummy tuck incision are typically all below the surface of the skin and absorbable.  It can take several months for the sutures to absorb.  Before they do, your body may try to expel them out through the incision.  Return to your surgeon if any of these sites are problematic.

Knots under scar from an abdominoplasty

Marginal necrosis at the wound edge especially in the midline is not unusual following an abdominoplasty. With conservative management it will get better. Your plastic surgeon will help you get this area healed.

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 14 reviews

Inflammatory Nodules May Develop with Absorbable Sutures Following Tummy Tuck

Its not unusual for abdominoplasty incisions to be closed with a series of absorbable sutures.  These sutures typically resorb in 3-6 months following surgery.  During this process inflammatory nodules can occasionally develop which are sometimes tender.

These nodules typically respond to massage and often dissolve with the passage of time.  It’s important to discuss this issue with your surgeon.  Your surgeon should be able to address this problem and reassure you.

Tummy tuck

Scars will be pink, firm and bumpy for 3-4 months.  In most cases they will start to fade, soften and flatten out over the next 3-6 months.  If the scar starts to raise up like a keloid try topical silicone.  I hope this info helps.

Ronald H. Stefani Jr, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 2 reviews

Palpable bumps in incisions commonly are sutures

It is very common that patients have palpable bumps under their incisions following tummy tucks. Most commonly, what the patients are feeling is the suture material (knots) under the skin. Even absorbable sutures take three months to be patient.

Kevin Brenner, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 21 reviews

Lumps along Tummy Tuck Scar Line.....

Lumps under your skin along your tummy tuck scar line are most likely  your sutures or inflammation around your sutures.  In most cases these stitches dissolve over 3-6 months.  As this happens, there is inflammation around them.
These lumps may also be what is called Fat Necrosis.  This is more common near the midline of your scar.  These usually persist for months to years and can be removed surgically if they are uncomfortable.  

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.