What are the holes in my incision? (photo)

Question

Little holes, some smaller than others that look infected. Under my left breast. 4 weeks post op.

Jeffrey Antimarino, MD, FACS · Answer

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.

Gary L. Ross, MBChB, FRCS · Answer

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.

Robert Stroup, Jr., MD, FACS · Answer

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.

Steven Wallach, MD · Answer

These small holes may represent sutures abscesses. You would need to be evaluated in person. Best of luck.

Tom J. Pousti, MD · Answer

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.

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.

What are the holes in my incision? (photo)

Answers (5)

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