5/6 PS I've consulted with all use Permanent sutures for the internal wall for their TT procedure. But a PS I am considering saids he will use an dissolvable one. He said the scar tissue healing around the wall where he will place the sutures will hold it in place like a corset, making the permanent sutures not necessary. Pls share your thoughts and experiences.
Answer: Tummy Tuck with Absorbable vs Permanent Sutures I have been using permanent sutures for over 10 years and will likely not switch to absorbable any time soon. The one draw back with the permanent sutures is that they may extrude (push thru) the incision or around the belly button over time. It is a rare instance but it can happen. The problem with the absorbable sutures is just that, they absorb over time. Some longer lasting ones (like PDS) may stay around longer, about 6 months or so, but they do lose strength over time. In fact with PDS only 60% of its strength is available at 6 weeks. Therefore, you can see even with the longer lasting absorbable sutures, the strength (in my mind) is not sufficient for a tummy tuck repair.Hope that helps.
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Answer: Tummy Tuck with Absorbable vs Permanent Sutures I have been using permanent sutures for over 10 years and will likely not switch to absorbable any time soon. The one draw back with the permanent sutures is that they may extrude (push thru) the incision or around the belly button over time. It is a rare instance but it can happen. The problem with the absorbable sutures is just that, they absorb over time. Some longer lasting ones (like PDS) may stay around longer, about 6 months or so, but they do lose strength over time. In fact with PDS only 60% of its strength is available at 6 weeks. Therefore, you can see even with the longer lasting absorbable sutures, the strength (in my mind) is not sufficient for a tummy tuck repair.Hope that helps.
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June 14, 2017
Answer: Dissolvable sutures for muscle separation repair in Tummy Tuck The main advantage of using dissolvable sutures to repair the muscle separation in a tummy tuck is in patients who are very lean. In those patients, the permanent suture may become palpable, or even visible, after they heal. The dissolvable sutures address this problem. The type of suture used needs to last long enough for complete healing of the muscle fascia repair, which is at the minimum around 8 weeks. The ideal suture therefore should last 3-plus months. Dr. B.
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June 14, 2017
Answer: Dissolvable sutures for muscle separation repair in Tummy Tuck The main advantage of using dissolvable sutures to repair the muscle separation in a tummy tuck is in patients who are very lean. In those patients, the permanent suture may become palpable, or even visible, after they heal. The dissolvable sutures address this problem. The type of suture used needs to last long enough for complete healing of the muscle fascia repair, which is at the minimum around 8 weeks. The ideal suture therefore should last 3-plus months. Dr. B.
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Answer: Abdominoplasty (tummy tuck): Information Dear Ms. Lyndaaa,Thank you for your question.Pros:Absorbable sutures will absorb and not "spit" (come to the surface), get infected or form a sterile abscess Permanent will theoretically provide long term strength Cons:Absorbable sutures theoretically will not provide the long term strength of permanent sutures.Permanent sutures can "spit" (come to the surface), get infected or form a sterile abscess.My personal experience is that absorbable sutures provide the strength needed while the scar tissue is forming for a permanent bond to occur while obviating the long term problems of permanent sutures. I thus recommend and only use absorbable sutures for the rectus muscle plication.I trust you will choose a experienced Plastic Surgeon who is Certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).
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Answer: Abdominoplasty (tummy tuck): Information Dear Ms. Lyndaaa,Thank you for your question.Pros:Absorbable sutures will absorb and not "spit" (come to the surface), get infected or form a sterile abscess Permanent will theoretically provide long term strength Cons:Absorbable sutures theoretically will not provide the long term strength of permanent sutures.Permanent sutures can "spit" (come to the surface), get infected or form a sterile abscess.My personal experience is that absorbable sutures provide the strength needed while the scar tissue is forming for a permanent bond to occur while obviating the long term problems of permanent sutures. I thus recommend and only use absorbable sutures for the rectus muscle plication.I trust you will choose a experienced Plastic Surgeon who is Certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).
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September 23, 2017
Answer: Abdominoplasty plication sutures` Thank you for your question. Most of our literature within plastic surgery indicates that absorbable sutures for midline plication is an effective option. The temporary suture holds the abdominal wall together while it is healing. In general, as long as the temporary suture is present long enough for that healing to occur, the results will still be permanent. That said, there is always the risk of sutures tearing, breaking, or widening whether or not permanent suture is used. I would rely on your surgeon's judgment and his or her personal results as an indication of whether or not temporary suture is a good option for you. Thank you
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September 23, 2017
Answer: Abdominoplasty plication sutures` Thank you for your question. Most of our literature within plastic surgery indicates that absorbable sutures for midline plication is an effective option. The temporary suture holds the abdominal wall together while it is healing. In general, as long as the temporary suture is present long enough for that healing to occur, the results will still be permanent. That said, there is always the risk of sutures tearing, breaking, or widening whether or not permanent suture is used. I would rely on your surgeon's judgment and his or her personal results as an indication of whether or not temporary suture is a good option for you. Thank you
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September 23, 2017
Answer: Permanent vs Absorbable Sutures in Tummy Tuck A great question and one that i'm sure every plastic surgeon has struggled with or at least considered.I started my career like most surgeons using permanent sutures to approximate the rectus muscles. They are fast and effecient to use and what i had been trained with. Then one day a patient returned to my office with a reaction to the suture material which required that I make a small incision to remove. A small scar resulted. A few months later she returned again with the same problem. Another suture removal and another small but visible scar. This continued for the next 18 to 24 months approximately 4 or 5 times. Ten years later the patient came back again, very happy with her abdominoplasty but with another suture "spitting" from the midline. Once again it required removal under local anesthesia and a resulting scar. The lesson here is that permanent sutures are permanent and reaction to them which does happen will be a permanent possibility. The result is that I have been using strong absorbable sutures for the last 15 years and believe they do the same thing as the permanent ones without the long term concerns. I agree with the surgeon that told you that absorbable sutures create a layer of scar tissue that holds the repair together.
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September 23, 2017
Answer: Permanent vs Absorbable Sutures in Tummy Tuck A great question and one that i'm sure every plastic surgeon has struggled with or at least considered.I started my career like most surgeons using permanent sutures to approximate the rectus muscles. They are fast and effecient to use and what i had been trained with. Then one day a patient returned to my office with a reaction to the suture material which required that I make a small incision to remove. A small scar resulted. A few months later she returned again with the same problem. Another suture removal and another small but visible scar. This continued for the next 18 to 24 months approximately 4 or 5 times. Ten years later the patient came back again, very happy with her abdominoplasty but with another suture "spitting" from the midline. Once again it required removal under local anesthesia and a resulting scar. The lesson here is that permanent sutures are permanent and reaction to them which does happen will be a permanent possibility. The result is that I have been using strong absorbable sutures for the last 15 years and believe they do the same thing as the permanent ones without the long term concerns. I agree with the surgeon that told you that absorbable sutures create a layer of scar tissue that holds the repair together.
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