Suture granuloma 1 year post muscle repair

Question

I previously had a tummy tuck 1 and a half years ago and have developed a confirmed suture granuloma, verified by ultrasound. My body has previously rejected multiple permanent sutures, Which my surgeon had to open my incision to remove. But I believe there is a retained suture causing recurrent inflammation and is at the top where my muscle repair begins. I had a Kenalog injection 6 weeks ago that temporarily reduced the hardness but it has now returned. Also my belly button has been leaking the whole time on and off. My previous surgeon has now disregarded the situation. I have a history of permanent suture rejection. Please help

Mats Hagstrom, MD (license on probation) · Answer

If you’re having ongoing drainage and inflammation around your sutures, then there is a chance there may be bacterial contamination.
If that’s the case, it can be difficult to cure without further surgery.
Deep suture infections are fairly uncommon from this procedure.
Continuous ongoing drainage would indicate there may be bacteria.
I suggest you have in person consultations with other plastic surgeons in your community to get a quality assessment and better Understanding of treatment options.
Expect there may be differences in opinion and that your situation may not be easy to correct.
You need an accurate assessment before any conclusion can be made.
Best,
Mats Hagstrom MD

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