Post-Surgery Scar: Is That Pimple Normal or a Cause for Concern? - Surgery

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There is a small pustule on the scar after the fibroepithelial tumor surgery?


Hello, doctor.
I had surgery a month and a half ago, during which a tumor was removed from each side.
One of the scars is located on the skin, not near the nipple.
Today, I noticed a small pustule that looks very much like a pimple; when I gently squeezed it, some fluid came out.
It feels similar to a pimple as well.
I would like to know if it is normal for scars to develop pimples after surgery, or if this might not be a pimple.
Should I return to the hospital for a consultation? I couldn't find any information online about scars developing pimples, so I'm quite anxious.
Thank you for your help!

Y, 20~29 year old female. Ask Date: 2022/08/07

Dr. Li Zhonghuai reply Surgery


Hello! It is recommended to return for a follow-up visit to check the wound.
Most of the issue is due to rejection of the absorbable sutures, which are not being absorbed.
Take care! Changhua Hospital cares about you!

Reply Date: 2022/08/07

More Info


After surgery, it is not uncommon for patients to experience various changes in the skin around the surgical site, including the development of small bumps or lesions that may resemble acne. In your case, the appearance of a small pustule on the scar from your surgery could be due to several factors, and it is important to understand what might be happening.

Firstly, the formation of a small pustule or bump on a surgical scar can occur due to a few reasons:
1. Infection: Post-surgical infections can manifest as localized swelling, redness, and the formation of pus-filled lesions. If the area around the scar is warm, red, or increasingly painful, this could indicate an infection that requires medical attention.

2. Sebaceous Cyst: Sometimes, the sebaceous glands in the skin can become blocked, leading to the formation of a cyst. These cysts can appear similar to acne and may contain a thick, yellowish substance. They are generally benign but can become inflamed or infected.

3. Keloids or Hypertrophic Scarring: Some individuals are prone to developing keloids or hypertrophic scars, which can appear raised and may have a different texture compared to the surrounding skin. These types of scars can sometimes become itchy or irritated.

4. Folliculitis: This is an inflammation of the hair follicles, which can occur after surgery due to irritation or infection. It can present as small red bumps or pustules.

5. Normal Healing Process: The healing process can sometimes lead to temporary changes in the skin, including the formation of small bumps that may resolve on their own as the scar matures.

Given that you mentioned the pustule can be easily expressed and resembles a pimple, it may not be a cause for immediate concern, especially if there are no other signs of infection (such as fever, increased pain, or spreading redness). However, it is essential to monitor the area closely. If the pustule persists, increases in size, or if you notice any signs of infection, it would be prudent to seek medical evaluation.

In terms of management, if the lesion is indeed a benign pustule and not infected, you might consider keeping the area clean and avoiding squeezing it further to prevent irritation or potential infection. Over-the-counter topical antiseptics may also be beneficial. However, if you have any doubts or if the condition worsens, returning to your healthcare provider for a thorough examination is advisable.

In conclusion, while the appearance of a small pustule on a surgical scar can be common and may not always indicate a serious issue, it is crucial to remain vigilant and consult with your physician if you have any concerns. They can provide a proper assessment and determine if any treatment is necessary. Remember, your health and peace of mind are paramount, so do not hesitate to reach out for professional advice when needed.

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