Worried About Tummy Tuck Internal Corset Stitching Sutures?

Hello, I experienced what's called spitting stitches with my breast lift and even had a small infection on one spot. My question is regarding the internal stitching used on the muscle corset or tissue and whether or not its as common to reject those sutures as well? Thank you in advance for your responses :)

Doctor Answers 10

Deep Sutures in Abdominoplasty

The deep sutures used to create the corset in a tummy tuck are actually plicating the edges of the fascia that envelopes the vertical rectus muscles.  This layer is quite deep and is covered by the skin flap.  The material used to make these sutures is usually permanent and non-absorbable.  It would be extremely unlikely that these stitches could ever erode through unless there were an infection or loss of the overlying skin.  "Spitting Stitches" are usually superficial under the skin and will typically dissolve in a few months.

Los Angeles Plastic Surgeon
4.7 out of 5 stars 28 reviews

Spitting sutures

Sutures that are "spitted" up by the body are usually the ones used in skin closure. The "corset "sutures are usually deep not absorbable and are not expelled by the body. TThey get infected either at the time of surgery or if the skin on top of them is not together and bacteria go down to the sutures causing a small localized infection. When that happens the body ends up getting rid of the suture to resolve the infection..

M. Vincent Makhlouf, MD, FACS
Chicago Plastic Surgeon
4.6 out of 5 stars 11 reviews

Spitting Stiches

Most likely, you won't have an issue with your tummy tuck stitches. I always tell my patients that if they feel a stitch, not to tug on it, simply clip it close to the skin. 

Jeffrey Hartog, MD
Orlando Plastic Surgeon
4.5 out of 5 stars 60 reviews

Muscle Sutures Do Not Spit

Suture extrusion is very rare in the muscle repair mainly because those sutures are not directly beneath an incision.  I would not concern myself with that phenomena.

Dr. ES

Worried About Tummy Tuck Internal Corset Stitching Sutures?

Although it is possible, it is highly unlikely. The "spitting sutures" are almost always  superficial, and more apt to become contaminated. The support sutures are in a more protective environment. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

Spitting of deep sutures

The more superficial sutures can erode through the skin and become visible even though they are dissolvable.  The deeper sutures are surrounded by healthy tissue and do not usually have this same problem. 

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Suture Spitting from internal plication with tummy tuck

Hello and thank you for your question.

No, you don't have to worry about spitting of sutures for your internal plication. Spitting occurs at suture lines in the skin. The sutures used for your plication are not directly underneath or a part of a skin suture line. They are much too deep to spit. Good luck with your tummy tuck!

David L. Cangello, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 15 reviews

Worried About Tummy Tuck Internal Corset Stitching Sutures?

         The sutures even if permanent should be buried and generally do not work their way to the surface as skin stitches sometimes can.  Find a plastic surgeon with ELITE credentials who performs hundreds of tummy tucks each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

Internal corset sutures

Good question. I have never heard of, or had a patient, who "rejected" their internal corset sutures. It is rare to actually have an allergy to a suture material. But sometimes sutures in the skin can work their way to the surface and "spit" out. Discuss this with your surgeon so that you feel comfortable with the plan.

Ronald Schuster, MD
Baltimore Plastic Surgeon
4.9 out of 5 stars 81 reviews

Spitting sutures is not rejecting sutures.

Dissolvable stitches are meant to be disposed of through natural processes of the body. Sometimes they will works her way through the skin which is called spitting. Any suture can possibly do this but for the most part is limited to intradermal skin sutures that are dissolvable.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.8 out of 5 stars 36 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.