Holes in the Incision! Any suggestions? (photos)

Hello,  I would recommend contacting your surgeon to discuss your concerns.  A common cause of a small wound that appears along the incision is a stitch that comes to the surface and causes a small irritated pocket to occur.  Once the stitch falls out or dissolves away, the hole usually heals, and I find that in most cases the final result is not affected.  Your surgeon can do a proper assessment and confirm the cause, then recommend treatment.

Hello, and thanks for the question and photo. This, unfortunately, is a common occurrence where the dermal layer (deeper layer of the skin) has been closed with absorbable sutures. Most plastic surgeons close incisions this way as it is a stronger closure and takes tension off of the outer layer (epidermis) and allows for a better scar. Quite often, however, the body may get rid of some of these sutures before they can fully dissolve and be absorbed. This usually happens when bacteria gain access to the underlying suture and create a small abscess that looks like a small pimple. The abscess eventually bursts, and the partially dissolved suture falls out leaving a small hole in the incision. The hole will usually close up within a few days and usually doesn't affect the quality of the scar. However, if multiple stitch abscesses occur within the same length of incision, there could be some eventual widening or thickening of the scar, but this is unusual. Use warm compresses if you see one of these forming. The faster it comes to a head and bursts, the less inflammation and potential scar problems will occur. Antibiotics usually won't help prevent these.Hope this helps!

Hello,It is not uncommon to have a small opening take longer to close or to "spit" a stitch and these superficial openings are usually closed with conservative wound care. Ask your Plastic Surgeon to examine you as they may need to remove an irritating suture.All the best 

Hello,You will need your periareolar suture removed, as it is infected and causing tissue breakdown.  Please return to your surgeon for removal sooner than later.Best of luck!

From the photo, it seems as if you are experiencing a reaction of the dissolving stitches under the skin that now is coming to the surface.  You just have to let it run its course, and use non-reactive stitches in your case the next time around.

from sutures will heal, and most likely with inconspicuous scars.  Use good wound care and watch them heal.

Wound issues such as this are not uncommon following the peri-areola incision and I would keep in touch with your PS. The key is that you don't develop an infection

It appears you have a common issue of "spitting sutures" which are absorbable sutures that are rejected by the body. Wound care should help heal the wound speak to your surgeon about it. Long term it should heal well. If you are not satisfied later a small scar revision maybe needed.Good luck!

Hello, Thanks for your question and photo. That is not so uncommon, and it should not leave any permanent damage. It is caused by the absorbable sutures, specially where there are knots which actually are a bigger accumulation of the thread. Don't stress about it, should be gone within a few days/one week. Happy healing, Dr. Fernandez Goico

You are experiencing suture granulomas over your breasts; this is due to either: 1)your body not liking the suture being used: you should get the name of the suture so that u don't use it again; 2)poor suturing technique where the knot is placed too superficially; 3)too much tension on your incision line. Local wound care, removal of sutures trying to extrude are your best options to manage your problem; remember, that these sutures will be reabsorbed eventually and this timing is dependent on the suture used.