One year post-op. Not sure what type of facelift I had, and surgeon doesn't seem willing to go into detail. I think it was some type of imbrication or quicklift procedure. It hasn't really worked and I still have jowls and other issues (eg loss of tragus and ear-lobe distortion). This question though is about palpable sutures. I can feel a small knot-like lump on each cheek just in front of each ear on the cheekbone. I presume these are permanent sutures. They feel horrible, can they be removed?
Answer: Palpable sutures after a facelift Thank you for your question. Both absorbable and non-absorbable internal sutures can be used during a facelift to elevate and secure facial soft tissue. Most absorbable sutures would be expected to go away within 3-4 month after the procedure. If one year after a facelift you still feel palpable knots, it is likely that permanent sutures were used. If these knots bother you, they can be easily removed. It would require a small procedure under local anesthesia to cut and remove the stich. Removing the stiches at this point would not affect your results. If possible, I would recommend asking your original surgeon to do this, since he is in the best position to know the location and the type of sutures that were used during your procedure.Best wishes!Dr. Konstantin
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CONTACT NOW Answer: Palpable sutures after a facelift Thank you for your question. Both absorbable and non-absorbable internal sutures can be used during a facelift to elevate and secure facial soft tissue. Most absorbable sutures would be expected to go away within 3-4 month after the procedure. If one year after a facelift you still feel palpable knots, it is likely that permanent sutures were used. If these knots bother you, they can be easily removed. It would require a small procedure under local anesthesia to cut and remove the stich. Removing the stiches at this point would not affect your results. If possible, I would recommend asking your original surgeon to do this, since he is in the best position to know the location and the type of sutures that were used during your procedure.Best wishes!Dr. Konstantin
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CONTACT NOW Answer: One year after If you still have a palpable knot one year after facelift surgery it is most likely that a permanent suture was used and somehow came close to the skin surface causing it to be palpable. This should be an easy fix and is likely easily be removed under local anesthesia in the office.
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CONTACT NOW Answer: One year after If you still have a palpable knot one year after facelift surgery it is most likely that a permanent suture was used and somehow came close to the skin surface causing it to be palpable. This should be an easy fix and is likely easily be removed under local anesthesia in the office.
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November 7, 2016
Answer: Lumps could be permanent sutures Without assessing you in person, hard to say, but if permanent sutures were used then yes, it is quite probable that the lumps are there to stay. I am so sorry that you are unhappy with your results. Perhaps you might want to get a second opinion from another board certified plastic surgeon in your area who can assess your face in person.Kindly,Kouros Azar
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CONTACT NOW November 7, 2016
Answer: Lumps could be permanent sutures Without assessing you in person, hard to say, but if permanent sutures were used then yes, it is quite probable that the lumps are there to stay. I am so sorry that you are unhappy with your results. Perhaps you might want to get a second opinion from another board certified plastic surgeon in your area who can assess your face in person.Kindly,Kouros Azar
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November 7, 2016
Answer: Palpable sutures If non-absorbable (permanent) sutures were used during your facelift it is likely that the lump you feel will not go away. The good news is that if the lump is caused by a surgical stitch it can be removed. Sometimes it is possible to use the same facelift scar to remove the lump when it is located close to the scar.
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CONTACT NOW November 7, 2016
Answer: Palpable sutures If non-absorbable (permanent) sutures were used during your facelift it is likely that the lump you feel will not go away. The good news is that if the lump is caused by a surgical stitch it can be removed. Sometimes it is possible to use the same facelift scar to remove the lump when it is located close to the scar.
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November 4, 2016
Answer: Palpable internal sutures after facelift You might want to just consider a revision. I say this only because you mention a few other areas of dissatisfaction in addition to the palpable sutures. Your surgeon should be willing to go into as much detail as needed for you to understand what was done at the time of the operation.I prefer long-lasting but dissolvable sutures. They typically resorb after a period of 3-4 months or so. This avoids long term issues related to the use of permanent sutures. Once there has been adequate time for the tissues to heal in their new lifted and supported position, the need for a suture to remain there forever does not make much sense to me.
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Answer: Palpable internal sutures after facelift You might want to just consider a revision. I say this only because you mention a few other areas of dissatisfaction in addition to the palpable sutures. Your surgeon should be willing to go into as much detail as needed for you to understand what was done at the time of the operation.I prefer long-lasting but dissolvable sutures. They typically resorb after a period of 3-4 months or so. This avoids long term issues related to the use of permanent sutures. Once there has been adequate time for the tissues to heal in their new lifted and supported position, the need for a suture to remain there forever does not make much sense to me.
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