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.
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
Helpful 1 person found this helpful
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
Helpful 1 person found this helpful
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.
Helpful 1 person found this helpful
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.
Helpful 1 person found this helpful
