Had breast aug/lift 5 month post op cohesive gel 550 cc smooth. Lollipop incision. Is it normal to have a hole in my incision?

Question

My left breast is healing very slow from beging. After op 1montg left breast incision opened up and stitched back after not closing on time. Now 5 month post op hard red lump on top of my areola. Surgeon said suture absence gave antibiotics. Now taking them 3 rd day. Today noticed right breast tiny holl on my incision? Is this normal why I am not healing? I am worried about infection. Everything was fine. What should I be doing? So I can start my normal life style. Very stressed. Thank you

Martin Jugenburg, MD · Answer

It is unfortunate when it happens, but it's not uncommon, for a suture abscess to develop.  Once the suture is removed (usually comes out on its own), this should heal on its own without any problems, which is why your surgeon was not worried.  However if this is still not all healed, let your surgeon know and let him/her determine what can be done to speed things up

Jerome Edelstein, MD · Answer

Hello, having a suture work it's way to the surface and cause irritation is not totally uncommon. If there is no sign of infection your Plastic Surgeon is likely expecting the suture to work its way out or it will have to be removed and then that spot will close. Keep the area clean and covered and follow up closely with your Plastic Surgeon.All the best

Camille Cash, MD · Answer

From your description it sounds as though you may have a suture abscess.  They typically are well managed with minor care.  Be sure to follow your surgeon's instructions and keep him/her updated on any changes that occur.

Stephen M. Davis, MD, FACS · Answer

Unfortunately sutures can come to the surface over time and "spit out", typically once there they can be removed and the issue is resolved. Keep in touch with your Plastic Surgeon and let him / her follow you closely to ensure you do well.Stephen M. Dvais, MD, FACSGreen Hills Plastic Surgery

R. Stephen Mulholland, MD (retired) · Answer

Dear liya2014,

Breast lift mastopexy incisions, together with breast
implantation, can sometimes have delayed wound healing. It appears in your
clinical situation there was some delayed wound healing and then some local
incisional management with re-suturing. 
It is very common in the months following breast lift surgery and any
kind of incision, such as a tummy tuck where there is tension, that the deep
sutures used to support the incision may start to dissolve and sometimes the
body can try to push these sutures out through the incision.  This is called a stitch abscess or, in common
vernacular lay terms, suture spitting. Small holes in the incision in areas of tension such as a breast lift or
abdominoplasty are extremely common and generally, over time, with local wound
management and removal of the absorbable suture or any trapped structure such
as an epidermal cyst, will heal normally. 
It is important you see your operative surgeon, as they are well aware
of these tissue healing circumstances and will be in the best position to
facilitate total wound healing.  Once
your scar is completely healed, if there is any redness, thickening or abnormality,
local management of the scar with injectable triamcinolone and topical silicone
or laser light devices will help improve the scar and optimize the appearance.

Stay in close contact with your operative surgeon and I’m
sure your results will be excellent.

For more information, please review the link below.

I hope this information has been of some assistance and best
of luck.

Sincerely,

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto

Had breast aug/lift 5 month post op cohesive gel 550 cc smooth. Lollipop incision. Is it normal to have a hole in my incision?

Answers (5)

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