Small pimple like bump on end of incision after breast augmentation (photo)

Question

3 weeks post op breast augmentation There is a small pimple like spot on the end of my incision. My PS had taken out a stitch in that area after I went in for my first check up. It's a little tender and feels hard. What could this possibly be? I will be scheduling an appt soon but wanted to know if any professionals have seen this or could ease my worry.

George Volpe, MD · Answer

A common technique for closing the most superficial layer of skin is called a subcuticular running stitch. This involves a knot which is placed at each end of the incision. Often this can be felt with a finger. If a stitch has become inflamed and the stitches removed, there may be some firmness at this area from the resulting inflammation. This may turn into scar tissue although one cannot tell for sure if it will persist as many changes occur in the first six months.

Sheila S. Nazarian, MD · Answer

Since your surgeon already removed a stitch from there, I would hazard a guess that this is simply the aftermath of a spitting suture. It will heal in time. Best, Dr. Nazarian

Emmanuel Mallol Cotes, MD · Answer

Thanks for sharing your concerns with us. Its too early to talk about final results with only 3 weeks post op. In my practice, after performing a Breast Augmentation I recommend to my patients to limit the movement of the arms for two weeks. After that, you can move your arms taking care and always with common sense. In this regard, it's not advisable to carry heavy weights to prevent the implant out of position, and allow the formation of the physiological capsule around the implant, also to avoid pain and breast swelling.Respectfully, Dr. Emmanuel Mallol.-

Brian K. Reedy, MD · Answer

Hi & thank you for your question.This is most likely a suture.If it continues to bother you or becomes inflamed contact your plastic surgeon to take a look at the area.

Martin Jugenburg, MD · Answer

I don't see anything worrisome in the photos you showed us.  It's early on in your healing.  Give it a few months and then you can speak to your surgeon if you are still concerned.

Deborah Ekstrom, MD · Answer

Sometimes the skin will gather a little at the end of the incision.  Dont worry about it.  It usually goes away over a period of months.Best!

Daniel Shapiro, MD · Answer

Hello and thank you for your question. The bump appears to be a spitting suture. These typically dissolve on their own but if it continues to bother you it may be removed with the help of your Plastic Surgeon.

Joo Hyuk Lee, MD · Answer

Thanks for your question. It seems to be fibrous tissue around the thread knot. Usually doctors stitch that with subcuticular running suture technic and then there used to be that kind of pimple. You can wait for about 2 months if you don't feel pain on it. Usually that shrinks with time unless there is new inflammation. Good luck.

Ven Erella, MD · Answer

Thank you for your question. It look like a suture underneath it and it usually heals as it dissolve. If not or bothering more or develop redness they may remove the sutra in the office. Please talk to your PS and express your concerns

Joseph Franklin, MD · Answer

Congratulations on your recent breast augmentation.   In the photo, it appears to be a suture underneath the skin.   These usually dissolve but occasionally need to be removed in the office.   Best during your continued recovery.

Small pimple like bump on end of incision after breast augmentation (photo)

Answers (13)

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