Don't worry about just one stitch. The itching worries me though. Yeast infection? Call your doc and see if you can't get a dose of diflucan to make sure that you get treated properly.
The part of the absorbable sutures beneath the skin are broken down by your body, but the part on top doesn't. So that's why the knot was probably just sitting there not anchored strongly to the deeper tissues. When the toilet paper caught the knot, off it went.
Itching is part of the healing process, and it will improve.
Share your concerns with your surgeon, since that's the best person from whom to get the best advice.
For more information about labiaplasty, click on the link below.
All the best.
No Worries! How soon the sutures fall out depend on the type and caliber of the sutures utilized, and frequently they come out in 2-4 weeks. In my labiaplasties, in order not to have permanent scarring and "suture tracks" I put in thin but strong sutures well under the skin which very well hold everything together, allowing me to utilize very small, non-reactive and rapidly dissolving sutures ("5-0 Vicryl Rapide") which actually fall out in 10-14 days but cause no scarring and the incision remains strong because of the stitches used UNDER the skin.
If larger caliber and long-acting sutures (especially "3-0" and sometimes "4-0" delayed absorbable sutures like PDS, Monocril, and Vicryl) are used through-and-through the skin, and stay in over 3 weeks, they can cause distortion, "pebbling" and permanent "suture tracks..."
As for itching, I give all my patients a cannister of Dermaplast spray to take home with them; this helps a lot with "suture itching. (And of course, since I use rapidly absorbing sutures on the skin edges, long-term itching usually isn't a problem...) The antihistamine medication Hydroxizine 25 mg also helps a lot with itching.
Michael P Goodman, MD
Davis, CA, /USA
Thank you for your post in question. It is not unusual for sutures to sometimes fall off prematurely. Most of us close the incision with multiple layers thereby decreasing the risk for wound separation even with one or several sutures falling out.
I would follow up with your surgeon to make sure that the looks okay
It's not unusual for sutures to fall away as they dissolve. You should follow-up with your surgeon and see if you've healed sufficiently to remove the bothersome sutures. Depending on the technique these can be removed early, in fact we remove sutures in my Center between post-op day 5-7. The result is a better aesthetic result and more comfortable and thus happier patients.
Best of luck,
Thank you for your question and I am sorry that this has caused you to worry. In most cases of a labiaplasty there are a number of sutures used to maintain the edges of your skin closed until your body fully heals. In most cases these sutures are absorbable and will weaken, break, and fall from the incision in the first few weeks after surgery. Assuming you have not seen a significant change in the appearance of your labiaplasty all is likely well, but if you have any concerns see your surgeon for an in-person evaluation.
Unless your labiaplasty was held together by a single stitch, you have nothing to worry about. Most surgeons use multiple stitches in multiple layers to give strength to labiaplasty scars while they heal. All of these stitches will either dissolve or fall out.
Hi. Most surgeons would use dissolving sutures, which usually fall out about 3 weeks post op and this should be fine, if deeper sutures were used to support the tissues. Itching can be from normal healing, irritant sutures, or occasionally a yeast infection, so if any doubt, it is best to consult with your doctor.
Usually by 20 days the sutures I use will have dissolved because the tissue heals quickly but is still fragile. It of course depends on the technique used to determine if this is ok. The only way to know this is to call your doctor and ask if it is safe that the suture came out now. However, if the tissue didn't open up it usually will be fine, just be careful with the toilet paper and try not to pull on the tissue to look at the incision.
Three weeks after a labiaplasty, it is not unusual for some absorbable stitches to come loose or come out. Even some non-absorbable stitches may untie around this time. Take a close look at the incision line with a mirror to see if there are any open areas. If you can't tell, call your surgeon to be evaluated.
Itching around this time is fairly normal as well. Once again, evaluate the surgical area with a mirror and if there is any drainage, redness, or anything else that looks abnormal, see your surgeon soon.