Permanent stitch is poking out of incision 6 weeks post op. Periareola implant with mastoplexy/donut lift. Why? (Photos)

Thanks for your inquiry, and sorry for your struggles.  Sutures do get infected and/or spit out unfortunately.  Please keep seeing your doctor, he/she seems very involved and that is really good.  How your scar will heal is hard to predict, but a scar revision is possible months down the road if it does not heal well.  Good Luck.  

You've clearly had a difficult and stressful recovery . . . these things happen and the best thing to do is stick with your surgeon and work through it. Currently, it sounds like you're seeing more wound separation as well as an exposed suture. If that's the case, you should be in touch with your surgeon so that you can consider:- whether that exposed suture should be removed, and- whether the wound should again be re-sutured.It's difficult to predict the final scar quality, but a scar revision done 6-12 months from now is always an option.

I am sorry to hear about what you are going through.  It is obvious you are not healing as planned. As to why that happened, it is not clear. Again, sorry.That clear thread that is coming out is a deeper stitch which is "spitting" out of the incision. It is probably a dissolvable stitch commonly used under the skin. Your surgeon can take care of that.I had a similar thing happen to me once with a patient. It turned out she had a reaction to a clear dissolvable stitch I used under her skin. I had to remove several stitches that spit out and revise my closure, but eventually she was healed and did not scar poorly. I do not know if the cause of your problem is the same as my patient's, but the treatment is. It's frustrating, but let your surgeon continue taking care of the open areas and spitting stitches.  The goal is to get you healed.  I understand your concern about bad scarring since you are not healing as expected. The scar probably will not be ideal, but it will look a lot better than you do now.  If you are unhappy with the scar, revision is always an option once you are fully healed.  Talk to your surgeon about your concerns.I hope I was of some help and best wishes with your recovery.Dr. Bastidas

It is very common for buried sutures to occasionally work their way to the surface prior to being dissolved.  While a nuisance, it is nothing to be concerned about.  Your incisions should heal well and look fine over the long term.

Sorry to hear that you're having problems. The number one goal at this point is to achieve healed wounds. Cosmetics will be a secondary concern and can be addressed later as they can be revised. Skin quality is an essential ingredient in the mixture that can very well determine your results. Obviously, It isn't possible to tell what your skin quality is from pictures alone. If you have very stretched skin, that represents permanently   damaged skin. In this setting, a smaller implant would be a wiser choice as it would stretch the skin less. That would be your starting point and you will continue to have that problem postoperatively. It is important that you have very limited activity in the early postoperative stages, that is, in the first six weeks. Make sure that you follow all instructions given by your surgeon. I believe that it is important that one wears a bra 24/7 for breast support postoperatively. This will minimize the tension on the incisions leading to better scars in general. Of course, follow up with the surgeon and be direct in all of your concerns.