Suturing is the final stage of any surgical operation. The appearance of the skin area depends on the quality of their implementation. Ugly postoperative notes disfigure the incision site and repel people's views. And thanks to the invisible jewelry seam, hardly anyone will guess about the operation performed unless the patient herself draws the attention of others to it.

Types of postoperative sutures

Modern plastic surgeons in their work are guided by the principle “Make the visible invisible.” From year to year, specialists in this medical industry are actively developing new technologies that allow them to improve both their own work and the work of their predecessors.

The chest is a special zone for a woman. If she decides to have an operation to increase or decrease it, then she should worry about all sorts of complications and consequences in advance. So, the most inconvenience is caused by problems with seams. In order for tissues to heal quickly and painlessly, you need to take care of them.

It is best to find out in advance at a preliminary consultation where exactly the stitches will be located and how the integrity of the skin will be restored. Modern surgery offers several options.

Surgical sutures

These are old generation seams. Today they are used only for ties of a large surgical field, when the force of tissue pressure during their spreading exceeds the holding capabilities of most microsurgical devices.

In plastic surgery, these types of ties are used extremely rarely and mainly for primary tissue fusion when creating a field for secondary operations.

Cosmetic seams

The most common types of splices today. They are performed both as a final postoperative option and as an intermediate fixation of tissues before the next intervention.

The latest generation of suture material is represented by a wide range of self-absorbable surgical sutures.

Their main advantage is that they do not involve subsequent pulling, which means they do not further injure the healing scar. There are three types of soluble threads:

• Catgut. Resorption time ranges from 1 to 4 months, depending on the nature of the operation, the thickness of the thread and the size of the surgical field.
• Lavsan. It differs from catgut only in the resorption time - from 15 to 60 days.
• Vicryl. One of the varieties of catgut thread, intended primarily for deep postoperative fields, since the composition, in addition to the thread itself, includes bioglue components. Dissolves on average up to 80 days.

Fixation of tissues with staples

Today in plastic surgery this fusion method is used only on bodily areas that will not be exposed. The brackets have a flattened shape. They are made from zirconium or chrome-nickel alloys. They are applied along the entire length of the postoperative suture with mandatory fixation of its edges and middle.

The main task of the surgeon when applying them is to accurately align the edges of the incision. The operation is considered more successful the more accurately this work is done. This method of fusion has a number of significant disadvantages:

• the healing process is slow;
• there is always a threat of tissue spreading under the brackets and improper fusion;
• staples cling to clothing materials and there is a risk of tearing the connected tissues;
• the scars look imperfect, especially at the ends of the incision.

Currently, this method is widely used in small strip operations that exclude endoscopic techniques (for example, cesarean section). When performing mammoplasty, it is not used.

Invisible seam

This is the most preferred type of suture in plastic surgery, especially for blepharoplasty and other interventions on the facial part. Fusion of this type of sutures is carried out using a special fibrin-based bioglue.

Despite the superficial simplicity of this type of suture, technologically its application is one of the stages of the operation, because it is necessary to gradually fuse one or more cut edges.

Due to the fact that the glue instantly enters into a chemical reaction with the blood plasma and surface fusion occurs in a few minutes, when stitching, the following should not be allowed:

• skewed cut edges;
• overlaying the edges of the cut on top of each other;
• the appearance of fixing nodules.

It would not be superfluous to note the fact that during any surgical intervention special attention is paid to the moments of securing the suture.

In the process of applying a nodule, one way or another, an additional pocket of skin or fibrin layer is formed. This protrusion becomes an excellent place to attract infection. Suppuration and swelling first appear at the ends of the suture.

Location of sutures for mammoplasty

When providing services for breast augmentation or correction, a plastic surgeon faces a number of professional tasks, such as:

• improvement of the existing form;
• breast tightening;
• enlargement/reduction of the gland to the desired volume.

It is important to correctly compare the patient’s wishes and the possibilities of mammoplasty in each specific case. In addition, it is necessary to correctly hide the traces of surgical intervention, bringing the result closer to the most natural appearance.

The location of the sutures during breast surgery is also important. They should be removed from human sight as much as possible and not cause discomfort to the patient in the future.

Currently, when performing breast plastic surgery, several methods of accessing the gland are used. The location of the scar will directly depend on the chosen technique:

• Periareolar access. The future scar will be hidden on the areola of the nipple, and since it often has a bumpy or folded surface, the scar will be visible only upon close examination. This method is not suitable for women planning pregnancy and breastfeeding, since the milk ducts of the mammary gland may be damaged during the operation.
• Axillary access. The sutures will pass in the armpit area along the line of the pectoralis major muscle. The disadvantages of this method are frequent bleeding of the scar, which occurs due to constant movements of the hands and stretching of the skin area, as well as an increased risk of wound infection due to the close location of the sweat glands.
• Submammary method. With it, the seams will pass in the substernal fold and will be well hidden from prying eyes. The downside of this application is discomfort when further using bras with dense cores and a considerable risk of infection during the healing period, since the skin in folded areas fogs up faster.
• Transareolar method. The seam runs transversely along the diameter of the nipple areola. This method is the most traumatic and bloody, but the scar after it is almost invisible.

As a rule, many patients are primarily interested in the issue of suture invisibility.

Today, plastic surgery has many means to hide the suture both from the patient’s own eyes and from prying eyes.

But it should be understood that this will not be possible in all cases. There are some points that make it difficult to make a seam invisible:

1. The main factor that will prevent the correct application of a suture will be the mass of the glands: the higher it is, the more likely it is that further tissue resistance will occur during fusion. It follows from this that overweight women will have a lower chance of getting an invisible scar than thin women.
2. The second resistance to proper fusion will be the muscles. The stronger the resistance of the muscle fibers, the more difficult it will be for the surgeon to reconcile them correctly.
3. And finally, the third factor is the quality of the skin. Rough or overdried skin is more difficult to heal than areas with soft, pliable dermis.

Postoperative care of sutures

The quality of the future suture largely depends not so much on the efforts of the plastic surgeon, but on the efforts made by the patient. When discharging an operated woman home, the doctor gives her a number of useful recommendations that need to be followed. As a rule, they come down to:

• treatment of scar tissue;
• wearing specialized underwear;
• dosing of physical activity;
• prohibitions on lifting heavy objects and moving your arms.

Accurate adherence to the doctor’s instructions significantly reduces the risk of improper fusion of the seam.

How long does it take for stitches to heal?

General tissue healing takes an average of 2-3 months. In an uncomplicated course, postoperative scar lesions first have an intense pink, less often pink-violet color. Then the whitening process gradually begins, and soon a thin whitish strip appears at the implant site. If the surgeon is properly qualified, this strip will be well disguised under the natural folds of the body.

At this stage, it is important to note that the process of regenerative healing of the skin lasts differently for all women and can last up to 4–6 instead of the classic 2 months. This is largely influenced by factors of age, the presence of chronic inflammation, and also, no matter how strange it may sound, the seasonality of surgical intervention plays a role.

It was noted that in the winter and early spring months, healing is slower than in the summer and autumn. Presumably, this is due to the amount of sunlight received, which accelerates the synthesis of a number of vitamins in the body, and vitamin deficiency, characteristic of unfavorable periods.

Symptoms accompanying suture healing

For some time after surgery, there may be pain at the incision site. This is due to the engraftment of tissues to each other and their fusion. The pain should not be sharp, pulsating or constant. If the listed symptoms are present, then it is better not to delay a visit to the operating doctor or any other surgical specialist if the manipulation was performed far from your place of residence.

In this case, there is every reason to suspect the penetration of infection and the development of a purulent inflammatory process. Similar symptoms may also have another, more serious cause – implant rejection. In this case, emergency surgical assistance is necessary to avoid a rapidly developing septic process.

The owner of a new breast should also be wary of the unnatural coloring of the scar. It should be remembered that in most cases it is caused by increased blood flow to the inflamed area, which means that there is definitely a problem with the scar and the help of a doctor is necessary to prevent further complications in a timely manner.

In some cases, to suppress inflammation and the process of implant rejection, the surgeon prescribes a number of medications. The list of necessary medications includes:

• antihistamines;
• antibiotics;
• non-steroidal anti-inflammatory drugs;
• ointments that accelerate tissue fusion.

Caring for seams at home

Processing options largely depend on the quality of the seams themselves. For cosmetic joints of fabrics, deeper processing is required than for adhesive-based seams. To properly care for such a seam you will need:

• antiseptic solution;
• special processing material;
• binding material.

As an antiseptic, you can use a 3% hydrogen peroxide solution or a medical antiseptic solution (ethanol). It is undesirable to use dyes, as they may react chemically with the threads used to stitch the cut. In addition, a number of dyes eat into the scar tissue for a long time.

Sometimes the scar may take on the appearance of an antiseptic substance. Such phenomena usually occur when treating postoperative sutures with a fucorcin solution; they acquire an intense crimson hue and often confuse surgeons, as they create difficulty in the overall control of the condition of the suture.

It is preferable to use a bandage as a processed material rather than classic cotton wool. The latter tends to cling to scar tissue, which can create a precedent for the development of purulent inflammation.

Binding materials have been used in plastic surgery for a short time and mainly for extensive surgical procedures, axillary implantation or during surgery to shape a removed mammary gland. If the surgical field is located in the inframammary fold, the use of wide-band adhesive tape or adhesive tape is limited.

Stages of processing the postoperative field

Scars must be treated without violating a certain sequence:

1. Carefully remove the bandage from the seam. If its ends are stuck, you need to pour a little antiseptic on top and, using gentle movements, separate the bandage from the wound.
2. Moisten the bandage with an antiseptic solution and thoroughly wipe the scar along its entire length, without stretching or touching the wound surface. If it is possible to wipe off dried blood lumps, it is better to remove them. This will prevent further caking of the wound. If open, unhealed areas are hidden behind blood lumps, it is better not to disturb them to avoid infection.
3. Next, using blotting movements, you need to carefully treat the wound space itself.
4. A good examination of the seam is required. It is important to pay attention to the presence of white or white-green inclusions, and to a specific change in the color of the scar. If any are found, the suture must be shown to the surgeon.
5. When finished, apply a fixing bandage. In this case, outside help is sometimes required.

Additional means for healing sutures

The use of traditional medicine that promotes accelerated tissue regeneration, such as string, plantain, knotweed (knotweed), etc., is possible only after complete healing of the scar.

The technology for preparing herbal decoctions at home rarely makes them sterile, and in addition, drying the skin during the healing stage of the scar can negatively affect its appearance.

After the scar is well covered with a protective fibrin film, and the dressing materials no longer stick to the operated surface, it is allowed to use products aimed at smoothing out the scar tissue. One of these is Contractubex.

Complications in the postoperative period

Complications that arise after surgery are a common occurrence after implantation is completed. They are divided into the following groups:

• implant rejection;
• improper tissue fusion;
• infection during manipulation or in the postoperative period.

In case of implant rejection, symptoms begin to develop already in the first days, and are characterized by:

• increase in temperature;
• severe throbbing pain in the area where the endoprosthesis is installed;
• swelling and redness of the implant area;
• chills;
• weakness;
• headache;
• vomit.

The seams also look atypical. Often, festering areas can be seen in the center of the wound surface. In this case, the soft tissues around the suture swell and turn red, become hot, and pulsate. These are all warning signs that require emergency assistance.

We urgently need to call a medical team. In this case, emergency hospitalization is necessary for further treatment. Before the ambulance arrives, you can take a painkiller, but this can blur the clinical course of the disease, so you shouldn’t be zealous, especially since the medicine is unlikely to have time to work.

It is important to prepare all documents regarding the progress of the operation and realize that the implant may have to be removed.

In case of improper fusion, visual deformations are noted: violation of the proportions of the mammary glands, pronounced asymmetry, protrusion of the implant through skin folds. There are no obvious signs of inflammation, the stitches look absolutely normal.

In no case should you try to correct the defect yourself by repositioning it, as you can pinch the internal tissues and provoke inflammation, and there is also a risk of rupture of the implant, which can lead to more serious consequences.

The nature of the surgical intervention will be primarily aimed at eliminating the components of the pillow, and additional thought will have to be given to external aesthetics.

It is important to contact the hospital where the operation was performed or another plastic surgery clinic to correct the problem.

In case of infection, everything depends on at what stage it happened. If an infectious microorganism is introduced during surgery, the symptoms will be much like implant failure, and medical attention will be needed immediately.

If the infection gets into the thickness of the seam due to improper compliance with the doctor’s instructions, then the area of ​​the inflammatory process will be limited to its limits. In this case, the quality of the seam runs the risk of being seriously damaged: melted ends may appear, a more pronounced white segment may appear in the future, and in some cases, an initially straight line undergoes serious deformation bends.

Help in this case consists of treating the inflamed segment with an antiseptic, covering it with a superficial bandage or plaster to prevent additional infection or damage. In the near future, you should see a specialist to prescribe further treatment tactics.

If there are scars left

Sometimes the presence of scar changes during breast surgery is inevitable. They can be either an individual skin reaction or the result of insufficient compliance with postoperative care instructions.

It is not possible to remove them on your own. For this purpose, a number of plastic and cosmetology clinics perform specialized laser correction aimed at smoothing the postoperative scar.

This is a non-invasive type of surgical intervention aimed at gradually straightening the fused skin segments. The manipulation can be either one-stage or carried out in several stages. This depends on the type of device installed in the institution.

Healing of postoperative sutures is a delicate and responsible process. The appearance of a certain part of the body, and sometimes the general state of health, depends on their further condition. When leaving the clinic, it is important to follow the post-operative care instructions developed by your plastic surgeon. Then the result of the mammoplasty performed will only please you.

Proper care of sutures after surgery is the basis for a quick recovery after surgery. Therefore, a professional surgeon pays special attention to this point of the rehabilitation program. Although this process is individual for each patient, there are general recommendations for care. We want to talk about them today.

Sutures after mammoplasty: their types and features

To create surgical access to the implant site, the surgeon needs to make a tissue incision in the selected location, where a thin cosmetic suture will then be applied. In aesthetic surgery, three types of approaches for breast augmentation are common:

• Submammary - the incision passes under the bust in a natural fold of skin. If the patient has a sufficient amount of her own covering tissue in the breast area, the sutures after mammoplasty are hardly visible here.
• Axillary – access is performed in the axillary area. The seam in the armpit after healing almost completely merges with the natural color of the body.
• Perialeolar - an incision is made along the lower border of the areola. The seams here have an aesthetic appearance and quickly become invisible.

Sutures after mammoplasty tighten the edges of the surgical wound for speedy healing. There are several types:

• Normotrophic. They represent an area of ​​skin that is slightly lighter than the base color of the fabric and cannot be felt at all when touched. Cosmetic peeling is sufficient to ensure that the seams are completely even in shade.
• Hypertrophic. These scars are pink in color and slightly protruding. Peels and laser resurfacing are used to completely smooth them out.
• Keloids. These are the most difficult stitches after mammoplasty. Outwardly, they look rough, compacted, stand out with pigmentation and can be painful when touched.

Why do keloid scars appear?

Keloid scars are a complication of breast augmentation. Among the reasons for their formation are the following:

• features of the body's immune system;
• hereditary predisposition;
• excessive skin tension in the healing zone;
• suppuration or infection of a postoperative wound.

It should be noted that sutures after mammoplasty do not necessarily turn into keloids. This process mainly has a hereditary predisposition and manifests itself gradually, in some cases up to 2 years. Therefore, with constant monitoring by a doctor, you can notice changes occurring in time and stop their development.

How to care for seams?

Every patient, before stepping into the operating room, must understand that thin and barely noticeable scars after surgery will remain in any case. But thanks to proper and careful care, they can be made barely distinguishable. Here is a list of basic recommendations on how to handle sutures after mammoplasty.

• Smoking is strictly not recommended during the period of preparation for the intervention and until final rehabilitation.
• It is mandatory to wear compression garments for up to six weeks after the surgical procedure.
• Sutures after mammoplasty are treated with antiseptics (the drug and frequency of application are prescribed by the surgeon). The doctor may also prescribe patches and silicone pads that prevent the appearance of rough scars.
• During the first week, contact with water is prohibited - the sutures after mammoplasty must be kept dry during this period.
• After hygiene procedures, it is necessary to apply a moisturizing cream or lotion to the stitches to avoid drying out the skin and to maintain its elasticity.
• To ensure that the sutures after mammoplasty do not come apart and are properly tightened, physical activity on the shoulder girdle of muscles should be limited in the first six months after surgery.

And most importantly, strictly follow all the recommendations of your plastic surgeon. Then the recovery process will be quick and painless, and the stitches after mammoplasty will be completely invisible. Be healthy and beautiful!

Sutures are used in surgery to stitch wounds and connect the edges of the skin using suture material. For suturing, needle holders and curved or straight needles of different sections and curvatures are used.

Caring for postoperative scars is very important and painstaking, since an improperly formed scar can lead to an unsuccessful result and an unaesthetic appearance after breast correction.

Therefore, it is important to know how you will be stitched, because a lot depends on the plastic surgeon and, in truth, is a “jewelry” work.

The following conditions should be determined in order to ensure that the quality of the scar is acceptable to the patient:

1. surgical incisions are sutured without unnecessary skin tension;
2. the wound is sutured using modern surgical materials;
3. the intradermal suture method is used;
4. female patients observe the correct rehabilitation period;
5. the incisions are made in the right place and after suturing they make the wound almost invisible to others;
6. skin glue is used - if necessary;
7. use of plasters, sprays, plasters, creams to improve the quality of seams.

Preparation for surgery consists of several stages

• choosing a clinic;
• consultation with a doctor;
• maintaining a proper diet;
• passing all necessary tests;
• consultation with a gynecologist and mammologist;
• two weeks before surgery, stop taking hormonal medications.

Types and methods of tissue connection depending on the type of operation

Having decided on the type of plastic surgery, you can find out what methods of applying sutures are available, their types and principles of application.

So, when performing reduction mammoplasty (breast size reduction), there are several types of tissue joining.

One type of breast reduction is the short suture method.

With this method, the thread is passed from the nipple to the lower fold of the breast. Such a seam is intended when it is necessary to remove no more than 800-100 grams of tissue.

This application technique is low-traumatic and has virtually no complications.

Photo: T-shaped method

There is also another breast reduction technique using the T-shaped or anchor method of tissue connection.

The thread is passed down and connected there with a suture passing under the inframammary fold. This technique is used when a sufficiently large amount of tissue needs to be removed.

The thread that runs along the inframammary fold is almost invisible. Vertical and horizontal seams heal well and are invisible. The suture takes on its final appearance a year after breast surgery.

There are also several types of breast augmentation:

• Periareolar is applied to an incision made across the areola. It has an aesthetic appearance and does not cause discomfort;
• submarine- applied to the incision in the crease under the breast. This type of seam is suitable for women who choose a medium-volume implant; in this case, the fold becomes deeper and the seam is less noticeable.
• axillary method- the incision is in the armpit.
• tuba - a thread in the umbilical fold. With this type, only the management of a saline implant is possible; first the shell is inserted, and then a saline solution is injected into the implant using a syringe.

Invisible scar - is this possible and what does it depend on?

Speaking of surgery, there is always a scar on the skin. But, such a scar may be invisible or almost invisible.

This depends on many factors, and the task of the plastic surgeon is to reduce the invisibility of the seam to the most unnoticeable level.

Modern scientific developments make it possible to achieve maximum stealth thanks to:

• modern technologies;
• quality of suture material;
• sutures that will quickly heal and dissolve.

When performing the “invisible seam” technique, you should take into account such nuances as:

1. depth and extent of the wound;
2. physiology of the skin;
3. individual characteristics of the body;
4. skin elasticity.

Plastic surgeon Sergei Sviridov also uses the “breast without stitch” method, and believes that the operation has special advantages which include the disappearance of traces after the operation within five days.

Also, when using this method of mammoplasty, there is no need to install drains, which means there are no additional incisions or punctures on the chest.

The undeniable advantage of this type of breast surgery is that an ultrasound scan is performed and no fluid or hematomas are formed, and as a result, the postoperative period will pass quickly and painlessly.

In carrying out such an operation, the plastic surgeon uses glue, that is, the skin is not stitched, but practically glued together.

This glue contains a biological preparation – fibrin.

The technology for performing such plastic surgery consists of the following stages:

1. availability of special equipment;
2. the presence of an adhesive supply system;
3. A special fibrin glue is prepared, which consists of various substances, including fibrin.

This method of performing the operation is not known to many people.

Not every surgeon can perform breast surgery using glue, because:

• special equipment required;
• The operation is expensive, and not every woman can afford it.

Video: Features of care

What should you limit yourself to?

An important and undoubtedly one of the main stages in breast plastic surgery is the postoperative period.

In order for it to pass painlessly and quickly, you should listen to the doctor’s recommendations, and also be sure to monitor the healing process of wounds and postoperative scars.

1. In the postoperative period, try to limit yourself in physical activity and lead a less active lifestyle.
2. You should also not lift weights, since this can contribute to the divergence of the threads, which will subsequently lead to unpleasant, undesirable consequences.
3. It is also necessary to be in the right position, Do not lie on your chest under any circumstances, because this can lead to deformation of the scars and the formation of an unaesthetic and noticeable scar.
4. Observe the healing process of wounds, and if you have pain and don’t like the look of postoperative scars, be sure to contact your specialist for a quick response and resolution of the problem .

When are sutures removed after mammoplasty?

Usually the threads are removed at the first consultation with a plastic surgeon after the operation.

If the rehabilitation process was painless and there were no complications, and the scars after surgery heal quite quickly, the suture material will be removed painlessly and quickly.

External scars after mammoplasty, if they were performed without self-absorbing material, the threads are removed within seven or ten days after the operation, and the internal sutures dissolve on their own.

In the first days after surgery, a patch is applied to the wound, and then when the scars lighten, you need to use a special cream.

If we talk about the above-mentioned absorbable materials with which sutures are placed, consult with your doctor whether such external threads are necessary.

Because they dissolve within two to three months, and figuratively speaking, dust and dirt can stick to their ends, which can lead to infection in the wound.

What to do if the scar has broken apart

Mammoplasty, like any other plastic surgery, is accompanied by surgical intervention and trauma to the patient’s soft tissues.

Photo: The seams came apart

And the next task of the plastic surgeon is to correctly use the technique of applying threads to the incision, which further minimizes the risk of infection in the wound and promotes its rapid healing.

If the threads come apart, do not panic, inspect the wound and immediately contact a surgeon to assess the situation.

The place where the threads diverge should be treated with an antiseptic, this can be a solution of brilliant green or iodine.

The rehabilitation period after breast correction is very painstaking and requires a responsible approach, so monitor the changes that occur with the incision sites and the healing process of scars.

Frequently Asked Questions

The application of threads after surgery and the rehabilitation period are very important and can influence the further outcome of the operation.

Do not hesitate to ask your specialist questions about how postoperative wounds and the healing process will heal.

Below we will present a series of questions and answers to them, which will allow you to navigate in this area and be more aware of this type of operation.

Does it hurt to remove the threads?

The answer is not clear, as it all depends on:

• the material from which the thread is made;
• wounds;
• human body;
• psychological mood.

If the wound healing process went quickly and well, removing the threads will not hurt, and you will be pleasantly surprised by the result.

What to do if the corset presses on the scar?

Wearing compression garments after surgery is very important for the patient, as it plays an important role in the outcome after surgery.

The corset may press on the scar because it was incorrectly selected and does not correspond to the size.

You need to take a responsible approach to choosing a corset so that there are no problems with it.

If the corset has several fasteners, try loosening it, but first consult your doctor.

Why does the incision site hurt?

The causes of incision pain after surgery can vary. From banal friction of clothes to various postoperative complications.

In the first week after surgery, you need to take painkillers to reduce pain.

Also, if you make sudden movements with your hands in the chest area after surgery, it may also be accompanied by pain, since the incision sites are very sensitive.

How is scar correction performed?

A surgical wound is a serious matter, as it affects the deep layers of the skin. After joining the edges of the incision, scar formation begins.

Scars and scars after surgery can cause emotional distress, and sometimes discord in intimate life.

Correction of scars and scars will forever relieve you of discomfort and dissatisfaction with yourself.

There are many methods for scar correction, but the main one is the method of surgical excision of the scar.

This technique gives effective results if there are extensive scars, deformities and contractures.

Excision of the postoperative scar should be carried out after it has “matured”, namely within three months to two years.

Surgical excision of the scar can be performed under both general and local anesthesia. This operation lasts from 30 to 60 minutes. .

How to treat the incision site?

After the operation, the incision must be treated immediately, and then after the operation for two weeks as it heals.

Immediately after mammoplasty, the sutures should be treated with special means that will be prescribed by your plastic surgeon; you should not self-medicate as this can lead to unwanted complications.

Treatment of the incision site can be carried out with antiseptics such as:

• alcohol;
• common potassium permanganate;
• You can also use a solution of brilliant green.

Antiseptics speed up the healing process under the crust. Afterwards, you can lubricate the seam with Contractubex ointment and use a silicone patch.

What to do if blood appears from the incision site?

Blood that appears from the incision site can have serious complications, so you should not hesitate to consult a doctor in order to determine the cause of the bleeding and prevent it.

What to do if the wound is suppurated?

The wound festers after surgery due to the fact that various microorganisms enter the wound area.

Often the incision may become suppurated if:

• hematomas (accumulation of blood) formed during the incision;
• in places where blood accumulates, which serve as a good environment for the proliferation of bacteria and the occurrence of infections.

Once the diagnosis of wound suppuration is confirmed, the doctor immediately begins treatment:

1. the threads immediately unravel;
2. the wound is treated with various antiseptic drugs (hydrogen peroxide, chlorhexidine).

You can also administer antibacterial drugs that will kill germs caused by suppuration.

Mammoplasty is an aesthetic procedure that women undergo when they want to add volume or restore the beauty of their bust. Many people think about the result, but soon after the operation they are faced with questions regarding stitches.

What do stitches look like after mammoplasty?

Sutures for mammoplasty are made of several types, depending on the specific situation and type of operation:

• Cosmetic. It features fast healing and quick lightening. This is done using threads.
• Fixation of tissues with staples using a special gun.
• Invisible seam. It is performed using fibrin-based glue. It is considered one of the most attractive from an aesthetic point of view, since after healing of the tissue it becomes literally invisible and indistinguishable to the eye.

Invisible seams are the most attractive, since in this case the regenerative processes proceed much faster. If you follow your doctor's recommendations, over time they really become almost invisible.

The use of one or another type of suture material, as well as access methods, also ensures the appropriate type of sutures after mammoplasty. The appearance is influenced by factors such as:

• Length and depth of the wound;
• Skin elasticity;
• Physiology of the skin;
• Individual characteristics of the body;
• The experience of the surgeon himself.

Breast reduction and stitches after it - the topic of the video below:

Their varieties

• The most inconspicuous seams are those that were made on periolar approach at the border of the pigmented skin of the nipple. With its help, within six months the site of intervention will be practically invisible. But there is a minus here - the sensitivity of the nipple is lost for at least several months, and in some cases - forever.
• With axillary access the sutures will be located in the armpit area at the border of the pectoralis major muscle. That is, the access point will be hidden from view. But such an effect leads to its disadvantages - inaccessibility and the risk of open bleeding. Such an incision is made in case of asymmetry of the mammary glands, as well as if it is necessary to shift the submammary fold.
• Submammary access It is done directly under the breast along the contour of the natural fold of the skin. It is considered one of the best types of access with minimal risks for the patient. After healing, such seams become almost invisible and are easily hidden under underwear.
• Transareolar method access is presented in the form of a cross-section of the areola, that is, the pigmented skin of the nipple. It is the most traumatic and unsafe. But seams of this type are considered one of the least noticeable.

In general, the type of sutures depends on the professionalism and talent of the surgeon, as well as on the personal characteristics of a particular organism. For example, even with perfectly performed work, if the skin is prone to scarring, then it will not be possible to avoid sloppy healing of the scars.

At first, the seams look like red stripes. They will lighten over time until they become bleached. But in some cases, especially if there were complications during the rehabilitation period, healing may proceed more slowly, and the sutures themselves may change.

Sutures after mammoplasty by day (after 30, 60 and 90 days)

How long does healing take?

In general, tissue healing occurs within 2 months, although it is too early to talk about complete rehabilitation even at this time. This is explained by the fact that in addition to the external disappearance of the wound surface, the restoration of internal structures at the site of intervention is also underway.

It is also worth considering that the regeneration process proceeds differently for each person. For some, serious wounds heal within a month, while for others, scratches last for weeks.

Pain after surgery

It is worth preparing for the fact that the stitches will hurt for some time after mammoplasty. Therefore, for the first couple of weeks you will have to take painkillers. But if the pain is of high intensity or persists for a long time, you should consult a doctor. There are several reasons for this manifestation:

• Friction of clothing (for example, a compression corset);
• Postoperative complications;
• Sensitivity of the incision site.

In the latter case, pain occurs with sudden movement of the arms. At the same time, the skin is stretched, and the internal tissues that have not yet been fully restored will give such sensations.

In the case of underwear, it is not uncommon to choose the wrong size or type of compression strap. In this case, it is necessary to either change clothes, or, if there are additional fasteners, loosen them by one position. But this can only be done after consultation with the specialist who performed the operation.

What is the secret of a perfect suture during breast surgery, the video below will answer:

Removing stitches

Usually the threads are removed at the first visit to the surgeon after surgery. This happens on average after ten days, if there are no complications. If the intervention was performed using self-absorbable material, then the sutures are generally not removed. The same applies to the use of “invisible seams”.

If we talk about removing sutures that do not dissolve, the process is carried out quite quickly. Many people talk about painlessness, but this procedure can hardly be called particularly pleasant. Pain will be present, but generally falls into the “tolerable” category.

If they are separated or fester

There are two emergency conditions when seeing a doctor is critical not only from the point of view of aesthetics, but also health:

1. If the seam comes apart;
2. If the seam festers.

If the edges of the wound have separated, then you should not panic. It is necessary to carefully examine the seams and soberly assess the situation. After this, the best and only thing the patient can do is to treat the area with an antiseptic composition to reduce the risk of infection.

If the wound becomes suppurated, you should consult a doctor as soon as possible, as this is a sign of infection on the stitches. Most often, this symptom develops against the background of hematomas and accumulation of blood, which is an ideal environment for bacteria to live. Upon confirmation of the diagnosis, the doctor immediately undoes the sutures, cleans the wound surfaces, eliminating suppuration and dead tissue. After this, the surface is treated with an antiseptic and antibacterial ointment is applied. Instead of ointment, the doctor may decide to take systemic antibiotics in the form of injections or tablets.

Seam processing

Sutures after mammoplasty are treated with antiseptics, unless otherwise prescribed by the doctor. For this use:

• Alcohol and alcohol tinctures;
• Zelenka;
• Potassium permanganate;
• Miramistin;
• Chlorhexidine;
• Fukortsin.

Treatment with antiseptics is carried out until the wound is completely healed, that is, at least two weeks after the operation. Even after a crust has formed on the surface of the wound, treatment with an antiseptic can significantly shorten the healing time of tissues, as well as prevent the risk of infection. When the stitches are closed with young skin, Contractubex ointment is applied.

There are also ointments that are used to treat sutures after surgery (only after consulting a doctor!):

• Vishnevsky ointment,
• Vulnuzan,
• Levosin,
• Stellanin,
• Eplan,
• Solcoseryl,
• Actovegin,
• Agrosulfan.

This video will show you what such a seam looks like after 5 months:

After the intervention performed to correct the breasts, you would rather get in shape and enjoy your own reflection in the mirror. But the woman still has a rehabilitation period ahead of her. Even when it goes well, some difficulties are inevitable. Sutures after breast surgery require special attention. They can heal in different ways, causing no trouble for some, forcing others to see a doctor again.

Read in this article

How to treat sutures and wounds after a mastectomy at home

To treat sutures and wounds after mastectomy surgery at home, use antiseptics (solution of iodine, brilliant green, potassium permanganate, Chlorhexidine, Miramistin, Dioxidin), ointments (Kontraktubeks, Eplan, Levomekol).

General rules of care after breast removal

After removal of the mammary gland, you must follow the general rules of care:

• inspect the postoperative suture daily, and if any discharge, swelling or redness of the skin appears, see a doctor;
• treat the wound site 2-3 times a day with an antiseptic liquid, it can be alcohol, Chlorhexidine, iodine, brilliant green, pink solution of potassium permanganate, Furacilin, Dioxidin, Miramistin as prescribed by the surgeon;
• apply a sterile bandage.

From the time the dry crusts come off, you need to lubricate the scar with creams, gels and ointments. This helps speed up healing and prevent the formation of too dense tissue. The surgeon may recommend: Actovegin, Solcoseryl, Vulnuzan, Levomekol, Contractubex, Stellanin. The choice of specific drugs remains with the specialist, since upon discharge he determines the stage of healing and the risks of complications.

Application of Contractubex on sutures

Contractubex is applied to a formed scar after removal of sutures and removal of dense crusts.. Its properties:

• inhibits the increased proliferation of coarse connective tissue;
• relieves inflammation, irritation and allergies;
• inhibits the growth of bacteria;
• softens;
• soothes itching;
• smoothes the skin.

The drug stimulates healing and at the same time prevents the formation of a keloid, dense scar. Apply 2 times a day with gentle, gentle rubbing into the seam. Treatment lasts from several weeks to 2-4 months.

How to treat the breast if an absorbable suture is applied after surgery

If after the operation a suture is placed with absorbable threads, then antiseptics are used when treating the breast - Chlorhexidine, Miramistin, Dioxidine. When a scar is formed, it is recommended to lubricate it with ointments with a softening and wound-healing effect: Dermatix, Eplan. The basic rules for caring for a postoperative wound do not change, but the threads will not need to be removed.

Care after mammoplasty

The success of the operation depends on care after mammoplasty: treating the suture with alcohol, Miramistin, other antiseptics, applying healing and absorbable ointments.

How long should scars on the areola be treated with alcohol after mammoplasty?

It is recommended to treat scars on the nipple areola after mammoplasty surgery with alcohol until the crusts covering the wound fall off on their own. Use either alcohol or solutions of iodine, brilliant green at the discretion of the doctor. At the next stage of treatment, absorbable ointments are used.

Wound after breast reconstruction: what cream to use to heal

• Contractubex– has a softening, anti-inflammatory effect, contains heparin, onion extract and allantoin;
• – silicone gel, smoothes protruding scars, lightens them;
• Imoferase– based on the enzyme hyaluronidase, reduces redness, pigmentation, itching, dryness, moisturizes;

• Vulnuzan– contains salts from Lake Pomorie, has a strong anti-inflammatory and cleansing effect, is used for long-term non-healing wounds;
• Eplan– the active ingredient is glycolan, it inhibits the growth of bacteria, relieves pain, stimulates tissue restoration, relieves swelling;
• Stellanin– simultaneously exhibits an antimicrobial and wound-healing effect, accelerates the fusion of suture edges during inflammation;
• Mederma– softens scar tissue, prevents keloid formation. A similar result is provided by: Kelocode, Dermofibraze, Dermatix, Contrarubet, Zeraderm.

Creams for healing scars after nipple surgery

After mammoplasty surgery, creams, gels and ointments are recommended for healing scars on the nipples; the most effective ones include: Dermatix, Mederma, Kelofibrase, Contractubex, Imoferase. They are applied after drying and rejection of dense crusts.

How to treat a seam at home with Miramistin

To treat a seam at home, Miramistin is applied to the surface of the skin. It is most convenient to use a spray bottle. First you need to remove the remnants of the bandage covering the wound. If it is difficult to remove, you can moisten it with hydrogen peroxide. Then Miramistin solution is sprayed and left until dry. This drug has a wide spectrum of antimicrobial action and is indicated for the treatment of purulent and uncomplicated postoperative wounds.

What foods should you eat to help your stitches heal faster after breast surgery?

To speed up the healing of sutures after breast surgery, you need to eat foods containing:

• protein – cottage cheese, fish, chicken, turkey;
• collagen – berry, fruit jelly, jellied meat;
• vitamin C – sea buckthorn berries, black currants, bell peppers, kiwi;
• vitamin A and provitamin carotene – carrots, liver, parsley, tuna, yolk;
• zinc – pine nuts, peanuts, beans, oatmeal.

What else should you do to make the stitches on your chest heal faster?

To make the stitches on your chest heal faster, you need to:

• do not load the shoulder girdle - avoid lifting heavy objects, active movements of the limbs until scar tissue forms (from 15 to 20 days);
• monitor the condition of the wound, treat it with antiseptics, lubricate it with cream as prescribed by the surgeon;
• take a shower in the first month, covering the seam with a bandage;
• be sure to wear underwear with a slimming effect, and you should have at least 2 sets to change to clean ones every day;
• prevent pressure on the seam, do not sleep on your side.

Watch this video about caring for stitches after breast augmentation:

How to care for seams: brief instructions

For a speedy recovery, it is important that postoperative sutures scar normally. Even if the material was self-absorbable, they need care, because the tissues injured during the intervention will not heal instantly. This will take time, during which you need to ensure that the wounds do not get infected and that the edges remain securely fastened.

Correct care will ensure not only fast, but also the absence of obvious signs that the woman had plastic surgery. What does it consist of:

• On the first postoperative day you need to rest in a semi-sitting position. This will help to avoid heavy load on the seams, hence their possible divergence.

• Necessary control the appearance of scars. At first they are red, but as they heal they turn pale and shrink in size.

Change in color of scars after mammoplasty within a year

• Sometimes the attending physician recommends treat sutures after mammoplasty with antibiotic ointments, in other cases they insist on simply wiping them with sterile wet wipes. Experts prescribe using brilliant green and other solutions to prevent infection.
• In each case, you need to follow the recommendations, since the material used for suturing varies, as do the individual characteristics of tissue healing. Therefore, you should not be arbitrary in choosing care products, ignoring the doctor’s opinion.

• After removing the stitches you can smear them with absorbable creams and ointments, after consulting with the surgeon. Contractubex will help improve the appearance of scars by applying a silicone strip to the incision site overnight.

• Necessarily 30 days wear. It will help to avoid excessive tension of the skin in the area of ​​the seam, that is, it will not allow it to hurt longer than expected and, moreover, will not allow it to separate. And to prevent infection, you should change your underwear daily.

Compression garments are put on the patient immediately after surgery.

• You can wash only 3-4 days after surgery, avoiding contact of water and shower gel on the seam areas. It is best to do this with a bandage, removing it after the procedure. You cannot rub the body in the area of ​​the mammary glands with a washcloth for 3-4 weeks.

• Need to avoid physical activity for at least 2 to 3 weeks. Rest helps damaged tissues heal faster and relieve pain in the suture area. This is also important for their correct formation without hypertrophy.

• Sleeping on your back without turning on your side or stomach, it will take at least 2 - 3 weeks. This way, it will be possible to relieve the skin of excessive tension, therefore, avoiding increased blood supply in the area of ​​the sutures, the risk of their damage and hypertrophic development.

To learn how rehabilitation after mammoplasty should proceed, watch this video:

When the scar resolves

The natural desire after surgery is to look as if the breasts have always been like this without intervention. This will only be possible after at least 2 months.. But even then the scar will change, becoming more and more smoothed out and invisible. The whole process can last a year. It also depends on what material was used during the operation:

• If self-absorbable threads were used to fasten the edges of the wounds (which happens with light intervention), they will disappear after 2 - 3 months. There is no need to remove them from the body, but caring for the sutures is still necessary.

• The use of synthetic threads requires their subsequent removal. Of course, the patient is eager to know in advance when the sutures are removed after mammoplasty. This will happen after 7 - 10 days. The doctor will evaluate the condition of the tissue dissection sites, the degree and quality of their healing.
• Haste can lead to the formation of rough, prominent scars, which will then have to be treated. And in the worst case, they may separate, or inflammation may occur in this area.

Removal of stitches after laser breast augmentation

Removing stitches can be a little painful. To a greater extent, it depends on the mood of the patient herself. If she is afraid in advance, she involuntarily tenses up, which intensifies the negative sensations. But the manipulation itself to remove the suture material is quite fast.

Another sign that causes concern and suspicion that not everything is going as it should is pain at rest and during movement. This feeling is natural, because living tissues and blood vessels were damaged during the operation. It lasts about 7 days. Very susceptible women complain that their stitches hurt after mammoplasty for up to 2 - 3 weeks. If all this time the feeling is decreasing, there are no other alarming signs, it does not indicate anything dangerous.

It may hurt more in the area of ​​the stitches due to excessive physical activity. women, especially when the upper half of the body is involved (arms are raised, shoulder movements are made). Incorrectly selected compression garments can provoke the sensation. In this case, it will need to be changed to a more suitable size.

Watch this video about how stitches are removed and further breast care:

Consequences of intervention

Healing of the sutures occurs with the formation of fibroblasts, which eliminate the tissue defect that appears as a result of the incision. An epithelial coating then forms in the wound, preventing bacteria from entering.

Gradually, the edges of the wound are attracted to each other. Thin seams are formed, which, if events develop favorably, are hardly noticeable, but are still visible. Carrying out mammoplasty involves their location in such places that prying eyes will be unable to detect its traces.

What is important for good seam aesthetics besides maintenance:

• Age. In young people, healing proceeds faster due to a high ability to regenerate and a more active immune system.
• Normal weight. With its excess or deficiency, recovery occurs more slowly.
• Nutrition. It must be complete to ensure the supply of “building material” for newly formed tissues. Sufficient intake of fluid into the body is also important.
• No bad habits. Alcohol and smoking interfere with the production of new cells.

Result of mammoplasty

Complications during suture healing

With a high-quality operation and good care after it, negative consequences in the suture area are rarely detected. But each organism is unique, in addition, anesthesia and the intervention itself provoke some suppression of the immune system. Therefore, complications cannot be 100% excluded:

• Inflammation. It can occur due to bacteria entering the wound, as well as from the body’s rejection of implants. If the seam is red, swollen and the area around it hurts, this is an alarming sign. Most likely, you will need treatment with antibiotics, possibly dissection, washing the wound and re-fixing the edges of the injured tissue.
• Sometimes you have to remove the implants, undergo treatment and perform the operation again. If after 2 weeks swelling in the suture area persists or reappears, the temperature rises, pain occurs in the problem area and head, the incision oozes purulent fluid and blood, you should definitely consult a doctor.

• Formation of hypertrophic or keloid scar. Complications can develop due to insufficient care. But sometimes the culprit is a feature of the body that was not previously detected because the woman had not previously undergone surgery at all. Thin, almost imperceptible stripes remain after the intervention for everyone. But hypertrophy must be treated, sometimes surgically.
• Seroma. It can occur not only in the immediate vicinity of the implant, but also in the suture area. Then serous fluid is released from it. If you don't take action, it's not far from here to inflammation.

• Seam divergence. This problem is also not difficult to notice yourself. If the suture breaks after mammoplasty, you need to see a doctor as soon as possible. Until his help arrives, the area of ​​tissue damage should be treated with an antiseptic (iodine or brilliant green).

The seam hurts, pulls, tingles - is this normal?

If the suture pulls or tingles, or there is pain, this means that the healing process is underway. These symptoms are not cause for concern if:

• localized only in the wound area;
• gradual subsidence of pain;
• reducing swelling;
• absence of fever, headache, chills, twitching pain;
• availability in the first weeks.

Moderate pain occurs for at least 2 months, but in some women it is felt in the first six months after surgery.

The seams do not heal

If the sutures do not fuse after surgery, it is recommended:

• wear special adhesive plasters that hold the edges of the wound - strips (you may need to stick them on for several months);
• wear retaining underwear for at least 4-6 weeks;
• include protein products in the menu (chicken, fish, turkey, cottage cheese), gelatin jelly, fruits and berries with vitamin C - sea buckthorn, rose hips, citrus fruits;
• do not allow the seam to get wet, dry thoroughly after water procedures;
• apply ointments with a wound-healing effect - Solcoseryl, Contractubex.

Suture oozing after mammoplasty

The suture after mammoplasty may ooze, that is, there is always a discharge of clear or slightly yellowish liquid on its surface. This symptom may be the first sign of seroma. This is the name for the accumulation of fluid in the area of ​​contact between the gland tissue and the implant. It consists of the plasma part of the blood; with a small size and good outflow, it resolves on its own.

If there is no drainage, the patient does not wear shapewear, and puts pressure on the shoulder girdle, then the seroma increases. This causes severe pain and fever. In this case, a visit to the surgeon is required. It will help remove accumulated fluid. The procedure takes place under local anesthesia and does not affect the result of mammoplasty.

Watch this video about complications after breast augmentation:

What are the dangers of pus on the suture after surgery?

Pus on the suture after surgery threatens the development of inflammation. Its signs:

• after a week the pain does not subside, but intensifies;
• the wound and the skin adjacent to it are swollen, red, hot;
• headache, fever, and weakness occurred.

Antibiotics are prescribed for treatment, but this should only be done by a surgeon after examining the wound. In some cases, it is necessary to allow the outflow of pus; installation of drainage (tube or elastic band) will be required.

There is also this option - the wound healed normally, but after a few weeks (sometimes months and even years) swelling and a red polka dot appeared on the seam. It matures and opens with the release of pus. This happens when the suture material remaining in the wound is rejected (ligature fistula). If it comes out with pus on its own, then complete healing occurs. But perhaps surgical help will be needed. When surgery is not required, the following is prescribed:

• lotions with saline solution (10 g per 100 ml of water, boil and filter through sterile gauze, bandage in 6 layers);
• applications of ointment with ichthyol;
• washing with antiseptics (for example, Dioxidin), enzymes (Chymotrypsin).

After the suture material appears, it is removed and the wound is treated with antimicrobial agents.

Expert opinion

Tatyana Somoilova

Cosmetology expert

In all cases of suppuration or fever, you should urgently consult a surgeon. Self-medication is strictly prohibited.

What does it mean if the seam turns red after breast removal?

If after removal of the mammary gland the seam turns red, this means:

• Option for normal healing in the first 2-3 weeks, the suture requires observation and treatment.
• Infection when there is swelling, pain and fever. It is caused by the penetration of bacteria into the wound or the introduction of blood from the site of a chronic process (for example, the nasopharynx). One of the common options is erysipelas. Examination by a surgeon and antibiotic therapy are recommended.
• Recurrence of the tumor process, which occurs after 8-12 months, is accompanied by enlarged lymph nodes, lumps in the chest, severe weakness, fever, pain in the gland, bones, and joints.

Risk of breast cancer recurrence

Why does the seam on the mammary gland darken?

The seam on the mammary gland may darken for the following reasons:

• formation of normal scar tissue;
• vascular sprouting (hypertrophic scar);
• healing with the proliferation of connective tissue and the formation of a rough keloid.

In the latter case, this is accompanied by the risk of a significant cosmetic defect. The main symptom is the spread of scar tissue beyond the postoperative wound. At the same time, patients feel itching in the suture area, and there is pain when pressing. For treatment, creams with silicone (Dermatix, Kelocode), laser therapy, and liquid nitrogen treatment are used.

A hypertrophic scar resolves over time, but usually this happens within a year.. You can speed up the process by using:

• laser resurfacing;
• local hormone injections;
• ultrasonic treatment with Contractubex, Hydrocortisone;

Why do stitches take so long to get wet after a mastectomy?

The main reason for the long healing of the suture after a mastectomy and the weeping surface of the wound is low immunity. It accompanies tumor processes and weakens as a result of taking cytostatic drugs, hormones, and radiation therapy. Risk factors are also considered:

• diabetes mellitus;
• obesity;
• age after 40 years;
• smoking;
• food lacking protein and vitamins;
• hot and humid weather;
• circulatory disorders.

It is important to consider that weeping wounds are a gateway for infection. It is recommended to dry them; for this, the surgeon may recommend:

• lubricate with iodine, brilliant green;
• treat with a mixture of calendula tincture and chloramphenicol;
• sprinkle with Baneocin powder.

Ointment bases can enhance separation, so only gels are applied (for example, Solcoseryl). If there is redness, severe itching or burning, or fever, you should immediately consult a doctor.

Redness around the stitch

Redness of the skin surrounding the suture occurs during an inflammatory reaction. If this happens in the first week, and the pain and swelling do not become stronger, then this requires continuation of the prescribed treatment - treatment with antiseptics, antibacterial ointments, wearing compression garments.

If redness appears some time after initial healing, there is swelling and an increase in local, general temperature, then this means infection has entered the wound. It can come from the outside or from a source of chronic inflammation in the body. You should consult a surgeon to determine the condition of the wound and the advisability of using antibiotics.

Why is the suture hard after surgery?

The suture after surgery may become hard due to the accumulation of blood under the skin (hematoma) or compaction due to inflammation. In the first case, there is usually no pronounced temperature reaction, but pressure on the seam is painful. For resorption, ointments with heparin and Lidaza are used locally.

If there are signs of an inflammatory reaction (red and hot skin, swelling, elevated body temperature), local therapy with antibiotics, their administration by injection, or taking tablets is prescribed. In case of compaction of any origin, surgical treatment of the wound may be required - drainage to ensure the outflow of accumulated fluid (inflammatory exudate or blood).

Yellow fluid is oozing from the seam

If the yellow liquid released from the suture is transparent, then this is a sign of seroma. This is the name for the accumulation of the plasma part of the blood, lymph. It may also contain a small admixture of blood from injured vessels.

After mammoplasty, it is often a reaction to the installed implant, suture material, and during mastectomy it is associated with an abundance of lymphatic pathways, which are inevitably damaged during the operation. Treatment requires fluid drainage and drainage installation. Sometimes seroma resolves on its own.

If the liquid is yellow, thick with a greenish tint, then it is pus. Its separation from the seam is a sign of microbial penetration. In such cases, an urgent visit to the surgeon is needed to determine treatment tactics - antibiotics or wound treatment followed by anti-inflammatory therapy. The purulent process does not disappear without treatment, but only spreads.

Blood from the suture after surgery

The appearance of blood from the suture after surgery occurs when the vessel is damaged or the clotting ability is reduced. If the bleeding is slight and there is no pain, then local use of a hemostatic sponge is recommended. Severe bleeding will require surgery. An urgent examination by a doctor is needed if there are signs of inflammation during blood discharge - redness, swelling, twitching pain in the suture area, temperature.

Other complications

Mammoplasty and mastectomy may be accompanied by postoperative complications: the internal or external suture on the nipple comes apart, the temperature rises, and after the suture is removed there are threads on the skin. With any of these consequences, it is important to contact a surgeon as soon as possible, as there is a risk of infection and bleeding.

The inner seam has come apart

Dehiscence of internal seams after breast surgery is possible with early exercise, heavy lifting, or refusal to use compression garments. Symptoms:

• chest pain;
• swelling;
• asymmetry of the mammary glands;
• discharge from the wound of yellow liquid with a bloody admixture.

For treatment, it is important to immediately contact a surgeon. He makes a diagnosis based on examination and ultrasound. Depending on the degree of suture divergence, either rest and tightening knitwear or surgical correction are recommended. It is impossible to cope with this problem on your own.

The seam on the nipple has come apart

If the suture on the nipple comes apart after surgery, you need to lubricate its surface with any antiseptic (iodine, brilliant green), apply a sterile napkin and immediately contact a surgeon. To prevent this complication, it is important not to load the shoulder girdle, not to carry heavy loads, and to use compression garments for at least a month.

Temperature rises after stitches are removed

If after removing the sutures the temperature rises above 37.5-38 degrees, then the reason for this may be infection. A variant of the norm is considered to be a temperature reaction of up to 37.5 in the evening for 14 weeks, provided that there is no increase in swelling, pain and redness of the skin.

In all other cases, it is important to consult a surgeon as soon as possible, since infection requires removal of the installed implants and a break for healing of at least six months.

Threads left after surgery: how to get them out

If there are threads left after the operation, the surgeon must remove them. To do this, you can contact a specialist at your place of residence, but you should not do it yourself. The visible part of the thread is insignificant, and the main segment is located under the skin. Without the skill of removing a suture, you can injure a postoperative wound. In addition, all manipulations must be carried out under completely sterile conditions to prevent infection.

Watch this video about what symptoms should alert you after breast augmentation and be a reason to consult a doctor:

After how many days are the stitches removed?

Sutures are removed after mammoplasty and breast lift after 1-1.5 weeks, and for mastectomy, the estimated time frame is 12-14 days after surgery.

After breast augmentation or lift

After breast augmentation or lifting, the sutures are removed for 7-10 days, provided that the postoperative period proceeds without complications (inflammation, seroma, hematoma are absent).

After breast resection

Removal of sutures after breast resection depends on the volume of fluid flowing through the drainage. If it is no more than 50 ml, then the drainage tubes are removed, and after 3-4 days the sutures are removed. Most often this happens 12-14 days after surgery.

How long after breast surgery can the suture be wetted?

It is possible to wet the suture after breast surgery only after a while – usually on 2-3 days, since the drainage must be removed. The doctor may then allow the patient to take a warm shower, but the wound must be covered with a bandage. The water temperature should be moderately warm; it is better to use regular baby soap or gel with a neutral pH.

It is important to consider that if there are signs of inflammation, surgeons prohibit water procedures; then you should wipe the body with wet wipes in the area of ​​the mammary glands. Bathing is not recommended for at least 1 month.

Frequently asked questions

How long does it take for threads to dissolve after breast surgery?

After 18 days they lose half their strength, and after 2-3 months they completely dissolve. The speed of this process depends on the material used.

How long does it take for internal sutures to dissolve after surgery?

Some surgical threads dissolve on day 40, while there are others that remain until day 90-120. The type of seam also matters.

How long does it take for self-absorbing sutures to dissolve??

On average, the sutures become free of self-absorbable threads within 60-90 days.

How many days does it take for a stitch to heal after breast surgery?

In the absence of complications, healing occurs on average in 15-20 days. But the seam will be visible for at least six months.

How long does it take for nipple stitches to heal?

The approximate time frame is 2-3 weeks, but provided that treatment is carried out daily, compression hosiery is used, the shoulder girdle is not loaded, and there are no concomitant diseases.

Why choose fibrin after mammoplasty surgery?

The use of fibrin after mammoplasty surgery has the following advantages:

• invisible seam;
• stability of the implant in the breast;
• fast recovery;
• low risk of complications;
• no drainage required;
• completely resolves in 5 days.

Fibrin glue is applied to the wound dropwise or using a special sprayer. Before use, it is defrosted and the two components interact. Thrombin activates fibrinogen, resulting in the formation of fibrin threads. This process exactly replicates natural blood clotting.

What the stitches will look like after breast augmentation externally largely depends on the patient. If the desire to be more beautiful is so great that a woman decides to undergo aesthetic surgery of the mammary glands, she should not be afraid to ask questions to her doctor and care. And the main thing is to follow his advice and believe in success.