Hi. I’m 2 years post op tummy tuck with muscle repair. About 6 months after I developed a hard nodule under my skin. I saw a general surgeon and he said it’s a suture granuloma and the suture needs to come out. I also contacted my plastic surgeon and he said if the general surgeon removes the suture my muscle repair would be compromised. I don’t want that to happen because I spent $36k on my plastics after weight loss. Is my plastic surgeon wrong?
Answer: Tummy tuck Thank you for your question. Suture granulomas do need to be removed but it shouldn't compromise your results 2 years out. You will need to have the granuloma removed or else it will only get worse. It is important to meet with your plastic surgeon to go over your concerns. Best of luck to you.
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Answer: Tummy tuck Thank you for your question. Suture granulomas do need to be removed but it shouldn't compromise your results 2 years out. You will need to have the granuloma removed or else it will only get worse. It is important to meet with your plastic surgeon to go over your concerns. Best of luck to you.
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Answer: Muscle repair sutures keep the abdominal wall only 1 month When we perform muscle repair (rectus plication), we essentially bring the rectus muscles together with strong sutures. As these muscles stay in this new position during healing, fibrotic tissue forms, and this scar tissue helps hold the muscles together in their corrected alignment. If during the early healing phase (first 6 weeks), the sutures are not disrupted by constipation, coughing, heavy lifting, or early exercise, the repair is usually successful. After this 6-week period, once fibrosis has developed, the sutures themselves are no longer critical—it's the scar tissue (fibrotic healing) that keeps the muscles in place. Therefore, complications like granulomas, infections, foreign body reactions, or seromas occurring after this 6-week window are much less likely to affect the integrity of the muscle repair.
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Answer: Muscle repair sutures keep the abdominal wall only 1 month When we perform muscle repair (rectus plication), we essentially bring the rectus muscles together with strong sutures. As these muscles stay in this new position during healing, fibrotic tissue forms, and this scar tissue helps hold the muscles together in their corrected alignment. If during the early healing phase (first 6 weeks), the sutures are not disrupted by constipation, coughing, heavy lifting, or early exercise, the repair is usually successful. After this 6-week period, once fibrosis has developed, the sutures themselves are no longer critical—it's the scar tissue (fibrotic healing) that keeps the muscles in place. Therefore, complications like granulomas, infections, foreign body reactions, or seromas occurring after this 6-week window are much less likely to affect the integrity of the muscle repair.
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June 17, 2025
Answer: Suture granuloma at muscle repair Thank you for your question. If you are 2 years out from your tummy tuck, the suture can be removed. What you are feeling is the suture knot, and this can be removed. The diastasis repair is well healed, and the suture knot can safely be removed.
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June 17, 2025
Answer: Suture granuloma at muscle repair Thank you for your question. If you are 2 years out from your tummy tuck, the suture can be removed. What you are feeling is the suture knot, and this can be removed. The diastasis repair is well healed, and the suture knot can safely be removed.
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September 27, 2024
Answer: I would not expect that removing the stitch would be a problem. Early in my career I used permanent stitches to plicate the muscle on abdominoplasty's. I did see a rare occasion where somebody got a suture granuloma around 1 of the permanent stitches that needed to be removed. This did not affect her muscle repair. Later in life I switched to absorbable sutures to avoid the suture granuloma problem. After the area has healed he should not have any problem as the muscle is fused together as the healing process goes on. The sutures then resorb and I have not seen a recurrence of a diastases since switching to the absorbable sutures. Good luck,Dr. T
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September 27, 2024
Answer: I would not expect that removing the stitch would be a problem. Early in my career I used permanent stitches to plicate the muscle on abdominoplasty's. I did see a rare occasion where somebody got a suture granuloma around 1 of the permanent stitches that needed to be removed. This did not affect her muscle repair. Later in life I switched to absorbable sutures to avoid the suture granuloma problem. After the area has healed he should not have any problem as the muscle is fused together as the healing process goes on. The sutures then resorb and I have not seen a recurrence of a diastases since switching to the absorbable sutures. Good luck,Dr. T
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September 17, 2024
Answer: Stuture Granuloma Suture granulomas are small, fleshy bumps that can form around sutures. While they can be unsightly and sometimes cause discomfort, they generally don't pose a significant health risk. Regarding muscle repair, the presence of a suture granuloma typically does not compromise the underlying muscle healing process. Observation: If the granuloma is small and not causing any symptoms, it may resolve on its own. Topical treatments: Corticosteroid creams or ointments can help reduce inflammation and promote healing. Excision: In some cases, the granuloma may need to be removed surgically.
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September 17, 2024
Answer: Stuture Granuloma Suture granulomas are small, fleshy bumps that can form around sutures. While they can be unsightly and sometimes cause discomfort, they generally don't pose a significant health risk. Regarding muscle repair, the presence of a suture granuloma typically does not compromise the underlying muscle healing process. Observation: If the granuloma is small and not causing any symptoms, it may resolve on its own. Topical treatments: Corticosteroid creams or ointments can help reduce inflammation and promote healing. Excision: In some cases, the granuloma may need to be removed surgically.
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July 12, 2024
Answer: Will I disrupt my tummy surgery? Hello and thank you for the question! You have many sutures under the skin and permeant ones as well. The fact that you are two years out and this is causing you problems I would recommend to just remove that one area, or one suture. I have had to remove sutures from a few of my patients in the past due to the same cause and they are healing well. Best of Luck!
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July 12, 2024
Answer: Will I disrupt my tummy surgery? Hello and thank you for the question! You have many sutures under the skin and permeant ones as well. The fact that you are two years out and this is causing you problems I would recommend to just remove that one area, or one suture. I have had to remove sutures from a few of my patients in the past due to the same cause and they are healing well. Best of Luck!
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