Will I Need the Purse-string Suture Removed? (photo)

Thanks for the photos. Be sure to follow up with your surgeon.  Seeking opinions from this site can be helpful but it has its limitations since we cannot exam you or know your entire history.  Often, I will remove exposed stitches.  Purse string wouldn't necessarily change your ability to heal.  Your wound will need proper caring and should heal well. 

Dissolvable sutures sometimes works her weight through the skin before they completely dissipate. They can be easily removed in the office. It's too early to make any judgments about the rest of wound healing.

Hi,

First of all hope the wound heals soon. The second I'm very curious about your preop pictures. I wonder if the skin excision was really necessary? With novel techniques it's possible to remove both fat and glandular tissues from the breast through a  0.5cm incision. And skin retraction is usually satisfactory. I reserve skin excision only for the extremely ptotic breasts similar to female breast. 

And for the suture if it's exposed it has to be removed because it is a foreign material which is very suitable for bacterial colonization which in turn will delay wound healing thus leading to a worser scar or hypertrophic scar eventually.

It's better to visit your doctor again and if you're not satisfied you may visit other specialist.

Best regards 

There seems to be suture reaction. See your plastic surgeon and he/she will be able to clean the wound and remove the exposed suture material

Your chest contour looks quite good from the picture that you have submitted.  It does appear that you have an open wound with an exposed suture that will not heal until the suture is removed.  After the wound has healed, you may wish to have the thickened scar revised. Prolonged wound healing is not uncommon with patients who have lost a lot of weight.