Tiny hole incision/spit stitch? (Photo)

Question

I am 18 days po breast augmentation and I noted a tiny opening at the lateral end of my right incision (inframammary). No drainage, no redness, when I cleanse it-i feel a bit of stitch material just flush with the skin surface. My surgeon is a 5 hour flight away, what should I do with this? I have over the muscle, textured silicone implants.

Terrence Murphy, MD · Answer

That small hole looks fairly insignificant and it sounds like it is a spitting dissolving suture. It is likely safe to trim what you can feel with a clean pair of scissors. Why don't you send your pics to your surgeon and see what they say. Otherwise your incisions look good so far.

Brooke R. Seckel, MD, FACS (retired) · Answer

Thank you for your question and photograph.  Based on the photo and your description your diagnosis of a spitting suture  is most likely correct.  Ideally your plastic surgeon should remove this suture.  You can however consult her primary care physician to see if he or she is willing to remove the stitch or give you a referral to a local plastic surgeon.

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