Absorbable Suture Rejection in Cosmetic Surgery - Plastic Surgery

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Absorbable suture rejection


Hello doctor, I just had two minor surgeries, and I have experienced rejection with different types of absorbable sutures.
Recently, I am considering getting eyelid surgery along with a mid-facelift suspension.
If the threads used for the mid-facelift suspension are rejected, what symptoms and risks might occur? If this happens, what solutions are available? I'm quite anxious as a newcomer to aesthetic medicine.
😅

Pang, 40~49 year old female. Ask Date: 2023/07/15

Dr. Lü Mingchuan reply Plastic Surgery


Hello: Please be cautious of infections.
Currently, most sutures are absorbable.
Infections can be surgically removed.
The Ministry of Health and Welfare Changhua Hospital cares about you.

Reply Date: 2023/07/15

More Info


Understanding absorbable suture rejection in cosmetic surgery is crucial, especially for patients considering procedures like eyelid surgery and mid-facial lifting. Absorbable sutures are designed to dissolve over time, eliminating the need for removal. However, in some cases, patients may experience a rejection or adverse reaction to these sutures.


Symptoms of Suture Rejection
When a patient experiences rejection of absorbable sutures, the symptoms can vary. Common signs include:
1. Inflammation: The area around the suture may become red, swollen, and tender.

2. Pain: Increased pain at the surgical site can indicate an adverse reaction.

3. Discharge: Pus or other discharge from the incision site may suggest infection or rejection.

4. Visible Suture Material: In some cases, the suture material may become visible or palpable under the skin, which can be uncomfortable.


Risks Associated with Suture Rejection
The risks of suture rejection can lead to several complications, including:
1. Infection: If the body reacts negatively to the suture, it may lead to an infection, which can complicate healing and require additional treatment.

2. Delayed Healing: Rejection can impede the normal healing process, leading to prolonged recovery times.

3. Scarring: Inflammation and infection can increase the likelihood of scarring, which is particularly concerning in cosmetic procedures.

4. Need for Surgical Intervention: If the rejection is severe, it may necessitate a follow-up procedure to remove the offending suture material.


Management of Suture Rejection
If you suspect that you are experiencing suture rejection, it is essential to consult your surgeon promptly. Here are some potential management strategies:
1. Observation: In mild cases, your surgeon may recommend monitoring the area for changes.

2. Medication: Anti-inflammatory medications or antibiotics may be prescribed to manage symptoms and prevent infection.

3. Suture Removal: If the suture is causing significant discomfort or complications, your surgeon may decide to remove it surgically.

4. Alternative Sutures: If you have a history of rejecting certain types of sutures, your surgeon may consider using different materials for future procedures.


Conclusion
While the use of absorbable sutures is generally safe and effective, individual reactions can vary. Understanding the potential for rejection and being aware of the symptoms can help you respond quickly if issues arise. Always maintain open communication with your surgeon, especially if you have concerns about your recovery or the materials used in your procedure. They can provide tailored advice and reassurance based on your specific situation.

In summary, while the risk of suture rejection exists, it is manageable with appropriate medical guidance. If you are considering eyelid surgery and mid-facial lifting, discussing your concerns with your surgeon will help ensure a smoother recovery and satisfactory results.

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