Post-Surgical Scars: What to Do About Hard Bumps

Postoperative scar issues?

Around the end of May, I fell and split my chin, requiring 8 stitches.
A week later, the stitches were removed, and I followed the doctor's instructions to apply scar treatment and massage the scar.
However, on the morning of June 12, I noticed a hard object at the site of the stitches.
In the afternoon, I thought it was skin and tried to pull it, but I discovered it was a white, elongated, hard substance that kept getting longer.
I would like to know what this white, elongated hard object is.
The scar is also hard and painful when pressed; could this be related to the white hard object? How should I address this issue?

Cz, 10~19 year old female. Ask Date: 2024/06/12

Dr. Li Zhonghuai reply Surgery

Hello! It is recommended to return to the original hospital for medical care, as it is possible that the underlying sutures are not being absorbed, similar to a foreign body reaction.
Take care! Changhua Hospital cares about you!

Reply Date: 2024/06/12

More Info

After undergoing a surgical procedure, such as the one you described for your chin, it is not uncommon to experience changes in the appearance and texture of the scar. The hard bump you are feeling, especially if it is white and elongated, could be a few different things, and understanding these can help you determine the best course of action.

Firstly, the hard bump could be a result of scar tissue formation. When the skin is injured, the body responds by producing collagen to heal the wound. This process can sometimes lead to the formation of thickened areas of scar tissue, known as hypertrophic scars or keloids, which can feel firm or hard to the touch. These types of scars can also be sensitive or painful, especially if they are still healing.

The white, elongated structure you described might be a suture that has not fully dissolved or been absorbed by your body, particularly if you had non-absorbable stitches. Sometimes, the ends of these stitches can protrude through the skin, leading to irritation and discomfort. If this is the case, it is essential to consult with your healthcare provider to determine whether the suture needs to be removed.

Another possibility is that the hard bump could be a sign of an infection or an inflammatory response. If the area around the scar is red, warm, or producing discharge, these could be signs of infection, which would require prompt medical attention. Infections can lead to complications in the healing process and may necessitate treatment with antibiotics.

In terms of management, here are some steps you can take:
1. Consult Your Doctor: Since you are experiencing pain and have noticed a significant change in your scar, it is crucial to follow up with your healthcare provider. They can assess the area, determine the nature of the hard bump, and recommend appropriate treatment.

2. Avoid Manipulating the Scar: While it may be tempting to pull or stretch the bump, doing so can exacerbate irritation and potentially worsen the scar. Gentle massage of the scar tissue, as advised by your doctor, can help in some cases, but avoid any aggressive manipulation.

3. Scar Management: Continue to follow your doctor's instructions regarding scar care. This may include the use of silicone gel sheets or topical treatments designed to improve the appearance of scars. These products can help flatten and soften the scar tissue over time.

4. Monitor for Changes: Keep an eye on the scar for any changes in color, size, or pain level. If you notice any worsening symptoms, such as increased pain, swelling, or discharge, seek medical attention promptly.

5. Consider Physical Therapy: If the scar is affecting your mobility or causing discomfort, your doctor may recommend physical therapy to help improve the area around the scar and reduce any associated pain.

In summary, while it is common to have some hardening of the scar tissue following surgery, the specific characteristics you described warrant a professional evaluation. Your healthcare provider will be able to provide the most accurate diagnosis and treatment plan tailored to your situation. Remember, proper follow-up care is essential for optimal healing and recovery.

Similar Q&A

Dealing with Pimples on Scars: What to Do After Surgery

Hello, doctor. I had a car accident over a month ago, resulting in a nearly 20 cm sutured wound on the back of my calf. It has healed, and I am currently using silicone scar sheets. Today, when I removed the sheet, I noticed a pimple filled with pus at the scar site (I did not no...

Dr. Lu Daokuan reply Plastic Surgery
It may be a localized infection at the suture site; a follow-up appointment is recommended.

Effective Scar Management After Surgery: Tips for Recovery

How to eliminate scars?

Dr. Huang Zhihui reply Surgery
The formation of scars is closely related to individual constitution and the tension of the wound. Therefore, if you want to minimize scarring after surgery, the only effective method is to reduce the tension on the wound. It is recommended to bring the edges of the wound closer ...

Effective Solutions for Scarring After Skin Tumor Removal Surgery

Hello Dr. Huang, I would like to ask about a situation where I had a tumor on my facial skin that required excision surgery. They used tissue from my thigh to reconstruct my face, but it left a large scar and resulted in uneven skin tone. What remedies are available to address th...

Dr. Huang Ruiyun reply Dermatology
It's difficult. Humans are highly differentiated organisms with poor regenerative abilities. I suggest you consult an orthopedic surgeon.

Post-Surgery Wound Issues: Healing, Scar Softening, and Lip Deformity Concerns

Hello Doctor, in early April of this year, I underwent surgery due to a blockage in the salivary gland of my lower lip. During the healing process, the wound became infected due to foreign body rejection from the sutures, and I had to undergo another procedure to remove some tiss...

Dr. Chen Bingze reply Surgery
Hello, it is indeed true that the initial healing of a wound can feel hard to the touch, as you mentioned. The hardness is due to inflammation; please do not misunderstand this. Any trauma can cause inflammation, which is necessary for bringing in the repair cells. Over time, the...