Why did my areola incision open? 2 months post op. (photos)

Question

I'm a little over 2 months post op and I noticed a small white bulge around my areola incision, a few days later the bulge dried out and scabbed. The scab came of when I took a shower and now it looks like an small, superficial opening. In the photo it's a little red because I just removed the gauze and it again pulled off the scab that was forming. Is this normal? Why did the incision open to begin with (white bulge)?

Connie Hiers, MD, FACS · Answer

You appear to have had a stitch abscess that can occur with any type of suture. Please continue to keep it clean and covered until healed. Please call your doctor's office for specific instructions.

Mark P. Solomon, MD · Answer

This appears to be related to the type of suture material used, but only your surgeon knows that for sure.  Your best option is to contact your surgeon.

Oren Paul Mushin, MD · Answer

Hi there, thanks for your question. It's a bit difficult to tell from the pictures and full exam would be required, but it does appear like a suture or stitch abscess. These are quite common as your body begins to heal and "push" the sutures out. Different people have varied reaction to stitches and some are more sensitive than others. I would see your surgeon just to be sure, but most likely you are progressing as expected. Best of luck to you.

Douglas Taranow, DO, FACOS · Answer

Krystal,What you have described sounds like a stitch abscess which can be very common even a few months post op.  Keep it clean and dry and it should heal with minimal increased scaring.Dr T

Steven Wallach, MD · Answer

It is likely that you had a stitch abscess.  This will often go on to heal pretty quickly.  Best to follow with your surgeon.

Why did my areola incision open? 2 months post op. (photos)

Answers (5)

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