White spot on incision line post breast reduction. Infection or spitting suture?

Question

I had my breast reduction done 4 weeks ago as of tomorrow and have had a small white spot that was barely noticeable for the past 2 weeks but now has become red around the area and is bigger and painful. I'm worried this is an infection. I think it's a spitting suture but the nurse at my surgeon's office didn't seem concerned at all and told me to put polysporin on it so I did that for now.

Nancy de Kleer, MD, FRCSC (Plast) · Answer

It looks like you have a spitting suture which will normally settle down in its own with some polysporin.  In your case the area is getting worse to the point that it may be infected. It is worth a follow up with your surgeon for complete evaluation and further treatment if needed.  All the best,Dr. Nancy de Kleer

Daniel Barrett, MD · Answer

Dear Price1994,it is hard to tell for sure without an examination. If you are concerned, I would suggest you to consult your plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Douglas Taranow, DO, FACOS · Answer

Dear Price,Difficult to answer.  IF the nurse saw it and was unconcerned, that speaks volumes.  On the other hand, you know your body and are able to report new symptoms.  If pain and redness appeared suddenly, it means something is going on.  Whether that is a spitting stitch or a minor early infection, only your Plastic Surgeon can determine with a physical exam.Contact your surgeon and ask to be seen once more.Best of luck.Dr T

Jon Ver Halen, MD, FACS (license suspended) · Answer

Hello and thank you for your question.  Based on your photos, it is hard to say if anything is wrong.  I do think that the reaction is consistent with a skin reaction to suture.  If you are concerned, I suggest that you follow up with your surgeon in person.  
Best,
  
Jon Ver Halen, MD FACS
  
Harvard educated plastic surgeon
  
Texas “Top Doc”
  
RealSelf100
  
America’s Top Plastic Surgeons, Consumer’s Research Council

Richard P. Rand, MD, FACS (retired) · Answer

Please visit your doctor, not the nurse, and have it checked out. Likely it is a stitch but it should be checked for deepr infection potential.

White spot on incision line post breast reduction. Infection or spitting suture?

Answers (5)