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Dissolvable Stitches in Cheek

Dr. Naderi answers your questions about all facial plastic surgery procedures, from facelift, rhinoplasty (nose job), to eyelid surgery (blepharoplasty), and dermal fillers.

Dissolvable Stitches in Cheek

Postby breakingeven » Wed Nov 23, 2011 7:50 pm

Hi Dr. Shervin Naderi,

I had a sebaceous cyst removed from my cheek 5 days ago. A plastic surgeon performed the procedure and was very kind, but didn't give great aftercare instructions (just to keep ointment on it), and hasn't been responsive to my calls. So here I am. He used dissolvable stitches and told me they would dissolve in about 10 days. I'm getting red bumps around the stitches and I also have some fluid or something in one designated area. It's quite tender. I went to a clinic today to make sure it wasn't infected and they said it wasn't.

My questions are:
I've read you get better results with non-dissolvable stitches and that they should be removed in 3-5 days. Should I be concerned that he opted for dissolvable stitches and should I have them removed?

If I do have them removed, could any doctor do it given that my surgeon is non-responsive?

The area that I mentioned that it seems like it has fluid in it, is to the side of the incision and it is just this raised area. It sort of looks swollen except it's isolated in one spot only. Just seems like there might be fluid there. Should I be concerned?

I wouldn't be so worried, except this is on my face. It took me years to even be willing to have the cyst removed due to the eventual scar.

Thanks for taking the time!
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Joined: Wed Nov 23, 2011 7:40 pm

Re: Dissolvable Stitches in Cheek

Postby Dr_Naderi » Tue Jan 17, 2012 8:21 am

Hi Gwen,

Sorry I saw this post 2-3 months after you posted it! Im sure your problem has resolved by now. But here is my response anyway:

1) Dissolvable sutures are fine. They can be removed and should be removed so not to leave marks.

2) An unresponsive surgeon is not fine. Try to get a hold of him or find another surgeon.

3) Silicone topical creams can help improve the appearance of the scar.

4) The fluid collection may be a seroma, hematoma or infection. It needed to be seen and examined.

Hope you are OK but this is definitely an example of patients needing to contact their own doctors for acute post procedure problems and not relying on online chat rooms.

Good luck



[Online replies to questions are NOT a substitute for actual consultation & exam & should not be considered "medical advice."]
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Location: Herndon Virginia & Chevy Chase Maryland

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