Am I having a reaction to internal sutures? (Photos)

Question

I had a breast reduction 6 weeks ago. Anchor incision, no surgical tape used. At week 4/5, a small rash developed above my nipple along with extreme itchiness all over my breast, concentrated at the nipples and ends of incisions. My PS feels I'm having an allergic reaction to internal sutures (fungal infection was also discussed). Now the rash has spread significantly. The earliest I can get to see her is in 2 weeks. Should I just continue with hydrocortisone until then or see my family doctor?

Tom J. Pousti, MD · Answer

I am sorry to hear about the complication you are experiencing; the photographs do seem consistent with a hypersensitivity or allergic reaction.  I have seen similar reactions when surgical glue was used on incision lines. Definitive diagnosis would require in-person evaluation; is consultation with a dermatologist an option for you? Best wishes.

Douglas L. Vander Woude, MD · Answer

Thank you for your question and pictures.  A delayed redness that you describe could be allergic reaction or infection.  I think it is most likely allergic, based on the photos and your (limited) history reported above.  It is not likely to be related to the sutures themselves.  If you cannot see your doctor soon, then yes, I would think talking to your personal doctor would be helpful.  A dermatologist may be able to provide a useful opinion.  If you are having fevers, increasing pain, redness, swelling - you should be seen right away.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thanks for your pictures.  It would be unusual to have a fungal infection and/or an allergic reaction.  Your plastic surgeon should be able to perform test to see if either one of these issues is occurring.  Once the diagnosis is established then the most appropriate treatment would be started.

Rafael Gottenger, MD · Answer

Good afternoon, thank you for your question and pictures. According with the description of symptoms and pictures, this redness could be secondary to an allergic reaction (rarely related to sutures), If you can't see your board certified plastic surgeon, I would recommend you to see a dermatologist for further evaluation and treatment.

Am I having a reaction to internal sutures? (Photos)

Answers (4)

Answer: Allergic Reaction Vs Infection

Answer: Allergic Reaction Vs Infection

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Am I having a reaction to internal sutures? (Photos)

Answers (4)

Answer: Allergic Reaction Vs Infection

Answer: Allergic Reaction Vs Infection

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Everything you need to know about Breast Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.