Do dissolvable stitches produce better looking scars?

The is no evidence that dissolvable sutures form better scars than removable ones.  Go with your surgeon's advice.  The vast majority or breast scars heal very nicely in either situation.

Usually it comes down to surgeon technique, as well as tissue genetics when dealing with scar.  I have not seen any advantage of using removable suture. 

Great question!  Wounds are generally closed in multiple layers - the deep layers are traditionally closed using dissolvable sutures, unless a permanent one is needed to create structure or hold tissue in a certain place.  The variation comes with the actual skin closure, and many surgeons have different thoughts.  Dissolvable sutures create more inflammation and redness as the body has to physically break down the product, thus causing more irritation.  Permanent sutures tend to cause less inflammation and redness as the body cannot break this down so your body does not react as much to them.  However with permanent sutures, they will need to be removed in the office, whereas the dissolvable ones will go away on their own.  Best of luck and hope this information helps!- Dr. Roger Tsai

Hello,I would imagine every surgeon on the planet that performs breast augmentation uses various types of dissolvable sutures to close deep layers of tissue, and the vast majority use them for the skin. Some might additionally use removable sutures in the skin too, though.Best of luck!

I agree with Dr. Lepore that the appearance of the scar depends upon the way in which it is closed, rather than the material it is closed with. As well, your body's own natural scar forming characteristics. Some people scars, even when closed meticulously, are more red and firm than others because that is how their body forms scars. Some surgeons use non-dissolving stitches on the outside, but take them out after a week or so. I would advise against leaving behind permanently any non-dissolving stitches in the breast as I think it is unnecessary and if one were to get infected it could cause issues. Best of luck!Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA