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: 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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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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June 10, 2024
Answer: Removing a tummy tuck suture I'm guessing that your plastic surgeon is indicating that your rectus abdominal muscle plication was performed with a permanent running suture and that it is still supporting the closure of he muscle. This is one of those things that plastics surgeons debate but there is good evidence that after 2 years your body has heal itself together in a way that removal of the suture should not compromise your results. My answer is based on a standard tummy tuck with a standard plication as I described but is possible that your plastic surgeon knows something about your individual case.
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June 10, 2024
Answer: Removing a tummy tuck suture I'm guessing that your plastic surgeon is indicating that your rectus abdominal muscle plication was performed with a permanent running suture and that it is still supporting the closure of he muscle. This is one of those things that plastics surgeons debate but there is good evidence that after 2 years your body has heal itself together in a way that removal of the suture should not compromise your results. My answer is based on a standard tummy tuck with a standard plication as I described but is possible that your plastic surgeon knows something about your individual case.
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March 1, 2024
Answer: You are probably safe to have the granuloma removed. Your muscle repair is no long strictly dependent on the sutures. You have scarred down around the repair, and that is likely enough to keep things together. Best wishes on your surgery!
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March 1, 2024
Answer: You are probably safe to have the granuloma removed. Your muscle repair is no long strictly dependent on the sutures. You have scarred down around the repair, and that is likely enough to keep things together. Best wishes on your surgery!
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