What is the likelihood of having an allergic reaction to dissolvable sutures and what are the options for rectifying? (Photo)

Question

I am 3wks post of upper blepharoplasty. I have distinct hard ridge at suture line, and knots where internal sutures are. I had spit out one suture. The area is sore, swollen LN, low grade fever. On antibiotics since procedure as surgeon's partner 4 days ago had opened small area to ensure no permanent stitches left in. He kept me on abx prevent infection of opened area. F/U w/ my surgeon next wk.

John J. Martin, Jr., MD · Answer

You have a suture granuloma on the lid.  This will occur at times where the internal sutures create more inflammation than normal and you get an inflammed nodule.  The treatment is antibiotics and warm compresses.  Sometimes the suture will extrude, but more often it will just dissolve as the inflammation resolves.  It will not affect your final result.

Darryl J. Blinski, MD · Answer

Why are you waiting a week to see the operative surgeon??? You need immediate attention for this issue....////

Gary L. Ross, MBChB, FRCS · Answer

Dissolvable stitches dissolve at variable rates depending on type and the half life of the stitch used. It sounds like your internal stitches are dissolving and unfortunately the area is inflammed following this. Taking the antibiotics should be sufficient and as long as there are no change in symptoms I would wait for things to settle. There is no reason for this to affect the outcome. It sounds like you are getting good advice and follow up.

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What is the likelihood of having an allergic reaction to dissolvable sutures and what are the options for rectifying? (Photo)

Answers (3)

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