My surgeon doesnt know what is going on - I have holes on my incision line (Photo)

Hello! The pictures you sent may be indicative of suture spitting. The surgeon likely used dissolvable suture that your body may be rejecting. About 99% of these sutures usually dissolve without problem but a good 1-2% are usually spit out by the body. This can appear as a small stitch you can feel that your body spits out (along with what appears to be pus or small amount of bloody discharge). It may also present with what looks to be a simple "pimple." Typically as long as the stitch was removed or falls out the area should heal on its own. I usually recommend an application of bacitracin twice a day and to keep it covered w/ gauze or telfa to prevent friction irritation. If the wounds continue and/or persist, you may benefit from obtaining a wound culture to make sure that you do not have a MRSA or any other atypical bacterial infection although this is rare and not usually the case. Good luck!

Hello and thank you for your question! small circular shallow wounds in the line of the incision like this and around this timeframe are commonly due to "spitting sutures", meaning that the absorbable sutures typically used under the skin surface during surgery begin to "dissolve" by an inflammatory reaction. Sometimes, patient's bodies dont "like" the inflammatory reaction/foreign body as this is happening and tries to "spit it out", opening a small wound like this can some sometimes drain yellowish inflammatory fluid or have a blood blister appearance. It is common to have this addressed in follow up by the surgeon who will inspect and possibly remove any remaining suture material evident at the base of the wound and will also make local wound care recommendations. Fortunately these wounds will heal on their own from the bottom up and sides in by keeping them clean and moist with a topical antibiotic ointment and a small gauze dressing.

Dear AdoretheSP,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. Based on your photos, it looks like you might have spitting sutures. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Very likely that you have inflamation, granuloma around deep, resorbable stiches used for closure of skin and deep tissues. Resorbtion of these sutures is between 3-6 months but some may last longer. Removal of remining suture material may speed up the process. See your local plastic surgeon. Hope this helps.

You may have picked up some bacteria in your sutures under the skin, especially if a permanent stitch was used. Otherwise, your tissue is reacting to the dissolving stitches used. I would treat each open area with Betadine.

An exam is needed to know for sure but these areas may be suture abscesses. Treatment begins in your surgeon's office and will be maintained with minimal home care. Schedule an appointment with your surgeon for an evaluation.