Protruding Sutures after Tummy Tuck 4 Years Ago (photos)

Question

I had a Tummy Tuck about 4 years ago followed by liposuction 2 years ago (same surgeon). After the liposuction I noticed some sutures poking out from under my skin which were removed via incision. As I've gotten leaner, more and more are starting to poke out. I can't get a straight answer from my surgeon. Is this normal? If so, why was I never told about this as a possible side effect? Or is this due to poor suture placement? Any insight would be greatly appreciated.

Daniel Barrett, MD · Answer

Dear mled,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Casey Anderson, MD, FACS · Answer

It looks like you have gotten so lean that things that aren't normally visible now are. I don't think it's poor suture placement. I think you weren't told because very few patients are able to get a fit as you currently are. My recommendation is to get your surgeon to address the issue.

Camille Cash, MD · Answer

The permanent sutures can be removed by your surgeon, as the ones prior were.  This is not a common issue for patients after a tummy tuck as most do not become as lean as you.  I encourage you to discuss your concerns with your surgeon.

Douglas Taranow, DO, FACOS · Answer

Your abdominoplasty appears to be done very well.  The fact that you lost weight and now the permanent sutures are visible/palpable is of some concern.
Tightening (plicating) the fascia covering the muscle to tighten the abdomen is an integral part of an abdominoplasty.  I usually bury my knots (stitch them to be upside down pointing inwards or suture tissue over them to cover them from the skin).  It appears you are correct that your suture ends (knots) are both visible and palpable.  The only solution I can think of is to remove them under local anesthesia ('Novocaine') through small incisions.
Best wishes.
Dr. Taranow

Gilbert Lee, MD · Answer

Thank you for your photos and questions. During a tummy tuck numerous different types of suture are used. Based on the amount of time from your tummy tuck, it is most likely permanent sutures were used. I recommend scheduling a consultation with a board certified Plastic Surgeon who can assess you in person but most likely the sutures will need to be removed. Its always best to first go back to the surgeon who did your case as they know exactly what was done. If there are still concerns, get a second opinion. Good luck!

Protruding Sutures after Tummy Tuck 4 Years Ago (photos)

Answers (5)