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At 4 weeks postop, you have the classic appearance of "spitting" sutures. Your body is trying to dissolve the sutures and sometimes has a problem dissolving the knots. It is not uncommon for the body to then push the knots through the skin, "spitting". It's very similar as to how the body treats a splinter. Have your surgeon remove the knots in the office, it is not painful, and the areas will heal quickly.I hope this helps.
You are having a problem with your stitches and you need to see your PS and get some advice regarding dressings / stitch removal. Usually this will settle with conservative management but your PS needs to advise you.
You are experiencing a reaction to your sutures. Usually absorbable sutures are use in breast reduction closure, and they simply melt away over time. Occasionally a patient's immune system will over-react and try to "spit" the suture out. Bacteria can then get into the wound and make the problem worse. The answer is to have the sutures removed. You will need to go back to your Plastic Surgeon for that. Once the sutures are out, everything should settle down.Good luck.
These small holes may represent sutures abscesses. You would need to be evaluated in person. Best of luck.
Congratulations on having undergone the breast reduction procedure. The photograph and description seems to be most consistent with the presence of a "stitch abscesses". Sometimes, an absorbable suture will "spit" (come to the surface); this is often associated with some drainage and possibly a remaining small/temporary hole. Of course, your plastic surgeon will be your best resource for accurate assessment, and advice. Best wishes for an outcome that you will be pleased with long-term.
Breast reduction like any breast surgery has incision lines that must heal; we advise patients to not engage in any physical activities for the first two weeks. After one month, you can do anything you want. Hope this helps.
Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another. See the below link on some suggestions on finding the most qualified Plastic Surgeon for a B...
The dark red color could be a sign of a fluid collection trapped under the skin of the axilla and your doctor should be examining you to determine if that is the case. Lymph leaks and seroma formation is very common in that area. Best wishes, Dr. ALDO
