My incision is tender to touch in one area 2 weeks post op. Is this normal incision healing? (photos)

Thanks for your question. Stop the neosporin. It looks like one of the knots from the suture is being pushed toward the surface of the skin. You are healing faster than the suture can dissolve. Sometimes you can develop a little localized infection or fluid collection immediately around the suture knot. This fluid collection could be causing the tenderness you're experiencing. Have your plastic surgeon check it out. Best of luck!

Hello,If you have a spitting suture then Neosporin is inappropriate as this is not an infection but just minor, local irritation where the suture will want to wiggle its way out. This is common and will typically heal well within a couple of weeks with conservative care.Follow your Plastic Surgeon's recommendations and let them know if redness/swelling/pain increases.All the best

Thank you for the pictures and questions. I agree with the other surgeons on here who have stated that your tenderness is likely due to an underlying suture. You should be evaluated by your surgeon to see if he or she would like to address this problem. With time, it may get better, but it could also develop into a small wound. Even if this happens, it will likely go on to heal without difficulty and will not have a significant impact on your overall result.Hope this helps!

I appreciate your question.



Since there has been a change in your post op course, please contact your surgeon so he/she can examine you and recommend the most appropriate treatment plan at this time.The best way to assess and give true advice would be an in-person exam.

Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.



Best of luck!



Dr. Schwartz



Board Certified Plastic Surgeon



#RealSelf100Surgeon



#RealSelfCORESurgeon

Thank you for your question and pictures.  Obviously, an in person exam would be more definitive than viewing a picture online.  That being said, the most reasonable diagnosis for your tender, red, protruding area on your suture line is a stitch abscess.  The term stitch abscess sounds ominous, but in reality, it is merely the body's attempt to dissolve a subcutaneous dissolvable suture which is a little too close to the under surface of the skin.  The process  of dissolving the suture brings white blood cells to the area, and white blood cells cause inflammation which is the redness you see around the stitch abscess.  The normal abscess one sees associated with bacteria has white blood cells which are attacking bacteria.  In the stitch abscess, we have white blood cells attacking and dissolving suture material (a much less threatening situation).  As far as your concept of putting Neosporin on the outside of an intact red lump on your skin, I totally agree with your surgeon's nurse.  Topical antibiotics, in no way, protect you unless there is a break in the skin.  Also, Neosporin is notorious for causing a rash after a few days.  This rash tends to look like infection because of its redness which then leads many people to put more Neosporin on, leading to more rash etc.  This process of a topical ointment causing the problem is known in the dermatologic world as "dermatitis medicamentosa" which means the ointment caused the problem.If you were my patient and I saw this picture, I would tell you not to worry and come in to see me on Monday.