Is this a spitting stitch 2 years after surgery? (photo)

Question

Two years ago I had excess breast tissue removed from my armpit. There have always been a few "pucker" points along the incision line. This past week, this pimple like sac formed (if I press on it, it drains pus and then is full again the next day). Is this an ingrown hair that's caused an infection or a suture coming out?

Daniel Barrett, MD · Answer

Hi jver,
  
I understand your concern. However, it is difficult to assess your incision site with mere pictures. It is best that you visit your plastic surgeon to have yourself properly assessed. Only after a thorough examination you will get more information and recommendations.
  
Daniel Barrett, MD, MHA, MS
  
Certified, American Board of Plastic Surgery
  
Member, American Society of Plastic Surgery
  
Member, American Society of Aesthetic Plastic Surgery

Robert M. Tornambe, MD · Answer

jver. It is possible that you are experiencing either an absorbable stitch that is spitting or coming out of your body prior to absorption or an ingrown hair. Start with warm soaks two or three times a day and see your plastic surgeon as soon as possible for further treatment. Good luck.

Nirmal Nathan, MD · Answer

Dear jver,Thank you for your question. Any absorbable stitches that were placed should be gone 2 years after surgery. If your surgeon used permanent stitches underneath the skin, or some stitches were left inadvertently, you could develop a stitch abscess 2 years out. It could also be an ingrown hair. Treat it with warm compresses, and if it does not resolve I would recommend visiting your surgeon. Hope this helps.Nirmal R. Nathan, M.D.Certified, American Board of Plastic SurgeryMember, American Society of Plastic Surgeons

Steven Varkony, MD · Answer

If your surgeon used absorbable stitches, any remnants would
be dissolved by now. However, without an in-person examination, it’s impossible
to determine the cause of the sac that has formed. We recommend consulting with
your surgeon to further discuss your concerns.

Connie Hiers, MD, FACS · Answer

Your sutures have probably long dissolved, but you could have an ingrown hair or infected sweat gland. Please see your doctor for proper treatment and antibiotics.

Is this a spitting stitch 2 years after surgery? (photo)

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