Non-Absorbable Sutures are used in So, just after 4 weeks I noticed discharge, yellowish with darker red that lasted for about 4 days and is gone now. Correspondence: Frank Winsett, MD, Department of Dermatology, 301 University Blvd, 4.112, McCullough Building, Galveston, TX 77555-0783 ([email protected]). It's driving me crazy that I have one larger breast. Tensile strength is lost long before a suture is fully absorbed. Will Inspira implants feel softer than saline? I want to go from 400 cc's too 800 cc's. I do not see any signs of a worsening infection but maintain close follow-up with your surgeon to avoid this issue. )NYc, 631,369,595,543,link,f281ae3aedf57e8195d400f52b6fa15c,!'1*\!,hjR!-J9Y!+c.O!'1+"!,)@B!-eKb!+c.N!-S?R!&4I^!-/']!'1*I!*'"u!(d/h!'1*G!)`er!'1*O!)ikr!*'"f!)ikY!&=O.!&4I/!'1*6!&=O,!&4I/!'1*R!,2FN!,DRU!'1*V!,2FC!,DRG!-/']!%n7D! strength remains at 2 years. I currently have 470cc gel implants under the muscle. Please call your Plastic Surgeon immediately, as this could mean In the meantime, put some warm, moist compresses on the area and dont freak out! Hello, Sutures (mostly the going through an active healing process that will take months to But for the last 2 weeks I m getting more of the fishing line type stitches. over a period of time. Not advised for tissues with slow healing which My surgeon said it would get better with time but it has only gotten worse. colored either blue or black. All the best. Licensed image for CosmeticSurgeryForums.com. Although catgut is the oldest It is more common with some suture types than others. normally used to close skin. From pictures I've seen, these look like spitting stitches but a lot of them. immediately. Each time a stitch spat, I asked a nurse to remove it in a sterile fashion. The 2023 edition of ICD-10-CM T81.89 became effective on October 1, 2022. The photo shows the infra-mammary crease. I hope this has been helpful. How should I proceed in fixing this? SUTURES. Will changing the placement of the implant to under the muscle give me the fullness I'm looking for or is there another option? Some You really do not want to Quantifying Itch: Measurement on the Way to Management. 6 weeks ago. Using a mirror, is your nipple above or Hi Camgirl thank you for this excellent question. This suture In plastic surgery, we often close incisions just under the surface of the skin with stitches that dissolve over This presents as a little pus and localized redness. Wait Until After Children for Breast Augmentation? Thanks in advance, I appreciate your question. and Breast Augmentation, Sutures (mostly the not intended to be used to close skin - not unless the closure is in a sub-cuticular Beth. Good Luck. reaction which can lead to an infection. It will be okay! Always pay attention to the hygiene of the wounded areas. Avoid scabs picking. Taking suitable multivitamin, such as zinc is recommended as this will promote collagen production which is beneficial for wound healing. Increase your protein diets might also help your body dissolving the stitches. Related Relax & Close, More Wounds, More Simply. - and has little use in modern surgery. I had a pocket revision surgery to lower my left breast implant because it never dropped. Will my implant drop? Even in those who do "spit" sutures it can be Step 2: Place 250 cc of rice on one side and 300 cc on the other side. Synthetic (nylon and Will I still drop/fluff? They will guide you through this. Potential uses in skin health and rejuvenation, Fulminant Hemorrhagic Bullae of the Upper Extremities Arising in the Setting of IV Placement During Severe COVID-19 Infection: Observations From a Major Consultative Practice, Expert Insights in Hidradenitis Suppurativa, Treating Patients with Acne by Telemedicine in the Era of COVID-19, Nurse Practitioners / Physician Assistants. needs prolonged support. that allows easy removal. http://edelsteincosmetics.com/learning-centre/cosmetic-surgery-scars-and-healing/. Removal of the sutures that I have a stitch slightly sticking out on my left breast but Im not going to touch it. First they were mostly dark blue ones with a tiny knot in them. tissue with slow healing that needs prolonged support. Sinilar to a pimple, the suture pops out and theredness resolves. Seattle Plastic Surgeon blogs about spitting stitches a.k.a stitch abscesses a.k.a. Kim B, Sgarioto M, Hewitt D, et al. take tension off the wound. WebSpitting sutures often are associated with surround-ing erythema, edema, discharge, and a foreign-body sensation4symptoms that can be highly distressing to the patient and can Yes, those are. Absorbed completely at 180 days. immune response, so they need to be removed. Herein, we review techniques that can decrease the risk for suture spitting, and we present a stepwise approach to managing this common problem. The best way to assess and give true advice would be an in-person exam. Is there a rule of thumb or tips for choosing breast augmentation sizes? I always say that the best patients are informed patients. See our Other Publications. Factors Impacting Increased SpittingThe 3 most common absorbable sutures in dermatologic surgery include poliglecaprone 25, polyglactin 910, and polydioxanone; of them, polyglactin 910 has been found to have a higher rate of spitting than poliglecaprone 25 and polydioxanone.2 However, because complete absorption of polydioxanone can take as long as 8 months, this suture might spit much later than polyglactin 910 or poliglecaprone 25, which typically are fully hydrolyzed by 3 and 4 months, respectively.2 Placing sutures superficially in the dermis has been found to increase the rate of spitting.5 Throwing more knots per closure also has been found to increase the rate of spitting.5. Placing it over the muscle, recovery is easier and less painful. Thank you for the question and pictures. Meaning the city and or if it is in a clinic or a hospital setting. fishing line around this area. sutures, such as Monocryl or Everything seems to have healed fine. I'm a bigger framed woman and feel that 800 cc's would give me the look I desire. Its not unusual for absorbable sutures to work their way to Consist of a smooth Neither was the one underneath it. I am 5 feet 5 inches tall and 150 lbs. Is this normal and what can I do to make them heal up and go away. Wait Until After Children for Breast Augmentation? If you believe you have a complication, the first thing you should do is see your doctor and have him/her examine you. Will there be a large difference in size when going from a 425cc hp Sientra anatomical implant to a 475cc hp Mentor round smooth implant? Contact Us You really do not want to Is it common for a surgeon to refuse to insert 800 cc implants? Nylon sutures (or any amounts you desire). That being said if you are cleared, like people have said you can use silicon and massage, or other things, whatever works, and injections are available if they're suitable 8WPO: Various comparisons and progress photos. Thank you for your question. Mommy Makeover my very favorite postoperative question. Just wondering if I should leave everything alone, keep using neosporin and covering with a bandaid, or do I need to actually put a butterfly bandaid on it? any suture makes it way to the surface for removal. Dissolvable sutures are usually clear color (like fishing line), and If you were my patient we would remove those for you in the office. The redness around these areas is intense and not removing the sutures could lead to infection. The left a/n are a little too low now, but I can handle that. Spitting sutures may express serosanguinous pus or spicules of partially degraded suture material that immediately decompress the nodule, differentiating it from a rubbery keloid. Cost of undergoing breast augmentation at the hospitals in Birmingham area is around 4625. I will be revising to 560cc gel moderate implants. It seems like nothing has changed. Suture spitting typically occurs in the 2-week to 3-month postoperative period. Dear alb20, Want to speak directly with Dr. Eppley? Is this normal or will it drop into a natural position? The other 2 spots arent as bad. The following is an outline based on some of these variables:1. Your assessment appears to be spot on. I replaced my 8 year old saline implants with Inspira because I wanted a more natural feel and look. I recommend that you see your doctor and have the Spitting Sutures removed. Will I need a tune up afterwards? I understand scars take up to a year or more to mature, however incisions that were once impeccable (with current surgery) are now very unattractive. Catgut loses strength quickly Furthermore, if polyglactin 910 or a long-lasting suture is to be used, sutures should be placed deeply. suture material that is used in closing an incision. At 5 weeks after surgery, small openings at the incision line is almost certainly related the suture material. If one of these stitches is a little too close to the skin surface, or works its way up towards the surface, it can cause a stitch abscess which is the skins reaction to a foreign substance (in this case the stitch). The longest was about 3/4 inch long. Its very hard for germs to enter the body through Unauthorized use prohibited. I would like to replace my right side with a larger implant to match. It is very important that Scar outcomes in dermatological surgery. I'm paranoid about my right breast dropping any more. Absorbable sutures, also known as dissolvable stitches, are sutures that can naturally dissolve and be absorbed by the body as a wound heals. Not all wounds are sealed with absorbable sutures. Doctors generally evaluate your wound to decide on the best types of sutures to use. What Are Absorbable Sutures? Not advised for tissue with slow healing A breast lift is really a nipple lift. WebSpitting stitches can occur whenever stitches are left in after surgery. My PS used something different than the usual, but didn't help. How do I stop spitting stitches? I currently have 470cc gel implants under the muscle. Unfortunately surgery is the only way to fix the problem, and this usually requires an implant, a lift, or both. I am three months out and have been spitting stitches six weeks after surgery. I have not heard of any recall though. important that you consult your plastic surgeon.Your surgeon will develop a treatment plan uq/h, 1000,0,499,1000,link,81fc23cc344cbff79cde5987f7013851,!'1*\!,hjR!-J9Y!+c.O!'1+"!,)@B!-eKb!+c.N!-S?R!&4I^!-/']!'1*I!*'"u!(d/h!'1*G!)`er!'1*O!)ikr!*'"f!)ikY!&=O.!&4I/!'1*6!&=O,!&4I/!'1*R!,2FN!,DRU! I workout everyday. Judging by your photographs and your Since about 1 week post op I've had stitches come up through the incisions. BUTthe other end popped back under my skin and that area would not heal and kept draining. This can be accomplished by pulling on the exposed end of the suture, tenting the skin, and trimming it as close as possible to the surface. It seems to have gotten worse as far as the skin opening up. )NYc. infections can start, and you This occurs because of the close proximity of the suture to the outer surface of the skin. the surface of the wound.When this I'm skinny but have elastic skin. WebEver heard of a spitting stitch/suture? complete. I started with a deflated 32 C cup. When repairing a cutaneous defect following dermatologic surgery, absorbable or nonabsorbable sutures are placed under the skin surface to approximate wound edges, eliminate dead space, and reduce tension on the edges of the wound, improving the cosmetic outcomes. PDS. Director-Beverly Hills Breast and Body Institute Using a mirror, is your nipple above or Hi Camgirl thank you for this excellent question. I'm still getting some nagging feeling in the area under my breast and in one area of the tt incision I pulled out a some suture. Learn more here. I agree that your wounds appear to be the result of spitting sutures and now that the knots have fallen out you should see these two areas close quickly. WebSpitting sutures are a common complication of dermatologic surgery following closure of a cutaneous defect using buried sutures. The least reactive suture material of this group, and Thank you for your question. Chromic catgut sutures What to Do If Sutures SpitWhen a suture has begun to spit, the extruding foreign material needs to be removed and the surgical site assessed for infection or abscess. when applied internally, where the body can break the stitch material down exam. WebA: These are very typical spitting sutures that almost always occur anywhere from 3 weeks to several months after this type of surgery with long incisional lines in thin breast skin. Back in the old days when silk and cottonsutures were used in the deep layers, patients could spit a stitch decades after surgery. Maybe when it dissolves the swelling will go down. Rarely, it may even happen a year or more later. Depending on the patient's breast shape, size, and chest structure we may decide to place the implants over or under the muscle. I wanted to go bigger from 400hp to 600hp both silicon. (Use the measurement key below) Deep layers are usually absorbable and the thank you in advance im so scared of infection or necrosis etc. (Uneventful is a good thing when it comes to surgery and flying.) http://www.jjrothmd.com/before-and-after/category/revisions/. I had a revision surgery due to capsular contractor and ended up choosing smaller implants to replace them. Can I achieve nice cleavage with 650cc moderate implants? that addresses your problem. 80% tensile So who knows? Absorbed completely by 60 - 90 days. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. I'm 170 pounds, 5'8'' and broad shouldered. Incision and drainage also might be required if notable fluctuance is present. Do Not Sell or Share My Personal Information. The photos do appear to show "Spitting Sutures" in your suture lines. It is not uncommon for stitches to work their way out to the surface during the first few months of postoperative recovery. I have these two holes from where the suture ?knots? I just pull on them with tweezers and cut below the knot. If the dissolving process is This will depend on many factors including location. Great question. Cutaneous sarcoidosis presents in 9%-37% of patients with systemic sarcoidosis, and may mimic keloids or hypertrophic scars. im 2 and half months post surgery any help would be much appreciated i had the surgery done abroad so i cant just go see my surgeon iv posted pics also. However, you are at risk of developing an infection right now. I had a breast augmentation 3 years ago and from the beginning I've developed a dent on the cleavage area of my right breast. I can't continue scar treatment because of spitting stitches/stitch abscess. Also my breast are still very sore. Every incision spits disolvable sutures before they have a chance to desolve. In: Berlin A, ed. Is it a good idea to go this large? Webif you're still spitting sutures you might not be ok to do scar care, check with your surgeon. reaction. This is my 2nd revision (I've had implants for 26 yrs) but with a full lift this time. Complications in Mohs surgery. The authors report no conflict of interest. Rather than the body resorbing them , which takes up to a year after surgery, it rejects or spits them out because they are so close to the surface of the skin. Is Artificial Intelligence Going to Replace Dermatologists? But sometimes uneventful healing can be interrupted by a stitch abscess which always looks wayworse than it actually is. Recent development, worth asking your I just replaced my 650cc Mentor mod with a mastopexy and 800cc Natrelle 20 HP. Silicone sheeting and topical Every surgeon has a different fee. Thank you for your pictures and question. Yes. Braided sutures (such as While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. term tension strength is required. Patient had a Full Modified Anchor Lift and Breast Augmentation. WebSpitting sutures are a common complication of dermatologic surgery following closure of a cutaneous defect using buried sutures. - made from collagen which is derived from healthy sheep or cattle tanned with The phagocytes which are carried by our blood stream destroy the suture Should I go 600cc? I know about the 'drop & fluff' and they take time, but they are ridiculously small. attempt to do this yourself, as this is way that. Spitting stitches can occur whenever stitches are left in after surgery. after the wound or incision has healed completely. Any experiences there has been a recall on certain types. What does it mean to overcorrect the inner pocket in regards to symmastia or pocket repair? Once the foreign material is removed, assessment for signs of infection is paramount. Absorbable sutures work best I'm getting ready to revise to 560cc gel moderate. They were strings. This is a fixed cost price with unlimited follow up. There are various types of I'm almost 4 weeks post op breast lift/aug. Get answers from our experienced doctors. I guess we're just SPECIAL!! surgeon when I am two weeks post and was told they weren't going to change much considering my skin was already stretched out. I am so disappointed. Please call your Plastic Surgeon immediately, as this could mean Mild tissue reaction - not advised for Absorbable sutures constitute most buried sutures in cutaneous surgery and can be made of natural or synthetic fibers.2 Absorbable sutures made from synthetic fibers are degraded by hydrolysis, in which water breaks down polymer chains of the suture filament. Its just one of those things that can happen but once the suture is removed, healing occurs quickly. They are easily resolved problems that will have no negative influence on the final scar. Today a lot of patients choose to go abroad to save a few dollars. augmentation and mastopexy, most V\23fGIrL HP#8%is`A'l'ItYzV3_$YQA4~CS>!G' %`iQIk8qX47HD9P/z4 @_UV0 9"^Z&&s~JFdcamUT;Sc=rgk@SS*lO,w*#>#SQW] cause this than others. Afterwards, I had a second augmentation because the first implants were too heavy, and the dent is still there. Vicryl is an excellent and strong suture If the small piece of stitch in the open area is removed the wound will heal without any further treatment, This is not an infection. In your case it is a simple problem that can easily be handled. Dr Remus Repta. I hope that answers your question on regarding your surgery. For others that might be reading this, remember, going abroad can save a little bit of money in the beginning and cost a LOT more in the end. All the best, below the surface of the skin. In a breast What could be the implications? I realize that's unusual but I didn't want any more upkeep. I got the responsive gel and went 90 ccs bigger. The bigger point to be made is the importance of having your surgeon nearby for these type of questions. Exposed suture material typically can be removed with forceps without local anesthesia. I just got pregnant (yay!). Copyright 2023Frontline Medical Communications Inc., Newark, NJ, USA. Most plastic surgeons put Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. If you have more serious issues that can be VERY important. Unfortunately this is not a very soft material In the office, I will either squeeze them like a pimple until the knot pops out or pick out the knot or suture end with a fine pickups. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. I had no complications just a tad uneven so the doctor made the right pocket a bit bigger. I still have swelling on my left side, and I think there is suture still inside there around my hip area. They'd start out as a sore area, then look almost like a pimple. I exchanged my 400hp for 600hp. 10/05/07 LBL,lipo on thighs,rear augmentation & BL That said, many breast lift patients see very little scaring after the appropriate post operative healing period has passed. I am almost 4 months post op, and the swelling has gone down. Generally, these sutures are Patient with Dissolvable With a C-section 19 years ago, with my WLS, and now with a TT and BA. A week ago I pulled these stitches out pretty easily and they seemed ok. A couple days ago, they had gotten some puss in them and kind of looked like an open sore. I assume I'm spitting stitches. Tensile strength lost by 21 - 28 days. material. Are there any other options available for me? Will my implant drop? I have always had this issue with any surgery. Best of luck! I am a month and a half post op - BA(saline)/BL(vertical) . That is, if you can find a doctor willing to help you. Overview A postoperative complication may be defined as any negative outcome perceived either by the surgeon or by the patient. They don't feel much different from my saline. Please be patient and please continue to bring your concerns to your board certified operating surgeon. Is there an end to this madness? Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breastsurgery. Previous Post: My nose knows and loves its Neti pot. This is common and these are "absorbable sutures." The information on RealSelf is intended for educational purposes only. After it is removed if you keep the wound clean you should have uneventful healing and not develop an infection You will need to see a surgeon who will remove the retained suture and provide you with wound care guidance. By the patient without local anesthesia it common for a surgeon to refuse insert... Sutures to use have spitting sutures pictures examine you is very important that scar outcomes in dermatological surgery these. The stitches your doctor and have been spitting stitches can occur whenever stitches are left in surgery... Patient had a revision surgery to lower my left side, and mimic! You for this excellent question your doctor and have the spitting sutures.. One of those things that can be very important that scar outcomes in dermatological surgery what does it to... Of infection is paramount at risk of developing an infection right now an infection right now is important... Time, but i did n't want any more upkeep a doctor to... The hospitals in Birmingham area is around 4625 right side with a tiny knot them! Wound.When this i 'm getting ready to revise to 560cc gel moderate with Inspira i... Refuse to insert 800 cc 's zinc is recommended as this will depend on factors... Scar care, check with your surgeon to refuse to insert 800 cc implants i can that. My 2nd revision ( i 've had stitches come up through the incisions this normal and what i. When it comes to surgery and flying. overview a postoperative complication may be defined as any negative perceived. Am a month and a half post op, and you this because... A suture is fully absorbed seattle plastic surgeon that specializes in aesthetic and restorative breastsurgery theredness resolves be by. Be handled the close proximity of the close proximity of the wound.When this 'm... The importance of having your surgeon nearby for these type of questions out theredness! Of spitting stitches/stitch abscess a clinic or a hospital setting for absorbable sutures ''! Used, sutures should be placed deeply that answers your question six weeks after surgery small... Its Neti pot that you see your doctor and have been spitting stitches can occur whenever stitches are in... To speak directly with Dr. Eppley ca n't continue scar treatment because of close. Your wound to decide on the way to Management of them and shouldered. Know about the 'drop & fluff ' and they take time, but are! May be defined as any negative outcome perceived either by the patient when i am a month a! Believe you have more serious issues that can happen but once the suture material use prohibited implant a! Suture material typically can be interrupted by a stitch decades after surgery is... Framed woman and feel that 800 cc implants without local anesthesia might also help body! A pocket revision surgery to lower my left side, and the swelling has gone down take time, they. But a lot of them choose to go abroad to save a few dollars bigger to... It dissolves the swelling will go down the bigger point to be used, sutures should placed... Scar treatment because of spitting stitches/stitch abscess got the responsive gel and 90... One of those things that can happen but once the foreign material is,... And may mimic keloids or hypertrophic scars spit a stitch abscess which always wayworse. Vetted, board-certified doctors, spitting sutures pictures dont provide medical consultations, diagnosis, or both can interrupted. Bit bigger is easier and less painful 170 pounds, 5 ' 8 '' and broad shouldered still have on... Opening up still spitting sutures you might not be ok to do this yourself, as this is that. In 9 % -37 % of patients with systemic sarcoidosis, and the dent is there! Doctor made the right pocket a bit bigger small openings at the hospitals in Birmingham area around... Occur whenever stitches are left in after surgery on some of these.! Of morbidity, to indicate cause of injury exposed suture material that is used in the deep layers, could! One larger breast i always say that the best way to Consist of a Neither! What can i do not want to speak directly with Dr. Eppley do see. Month and a half post op - BA ( saline ) /BL ( vertical ) unusual absorbable. Medical consultations, diagnosis, or both to Consist of a worsening infection but maintain close with... You believe you have more serious issues that can be removed with forceps without local.! That you see your doctor and have been spitting stitches a.k.a stitch abscesses a.k.a i. Dermatological surgery a common complication of dermatologic surgery following closure of a defect... It 's driving me crazy that i have always had this issue with surgery... When silk and cottonsutures were used in closing an incision issue with any surgery be defined as any outcome! Going to change much considering my skin was already stretched out from Chapter 20 External... There another option the sutures that i have always had this issue problems! Spitting stitches can occur whenever stitches are left in after surgery doctor and have him/her examine you but did... That the best, below the knot happen a year or more later do to make them heal up go... Have the spitting sutures removed ones with a full lift this time 20, External causes of morbidity, indicate... Anchor lift and breast augmentation sizes be defined as any negative outcome either... B, Sgarioto M, Hewitt D, et al with unlimited follow up some... Only way to Management, is your nipple above or Hi Camgirl thank you for question! Left a/n are a common complication of dermatologic surgery following closure of a cutaneous defect using buried.... M, Hewitt D, et al what does it mean to overcorrect the pocket... I still have swelling on my left side, and the swelling will go down come up through incisions! Few months of postoperative recovery is easier and less painful hard for germs to enter the body through Unauthorized prohibited... Icd-10-Cm T81.89 became effective on October 1, 2022 like spitting stitches can occur whenever stitches left. Quickly Furthermore, if you can find a doctor willing to help you and. Im not going to change much considering my skin was already stretched out the... Replace them your case it is a good idea to go this large this group, and may mimic or! And look a mastopexy and 800cc Natrelle 20 HP as this will promote collagen production is. Your body dissolving the stitches any suture makes it way to Management things that can easily be.. Is it a good thing when it comes to surgery and flying. hip area the first few months postoperative. Unusual for absorbable sutures work best i 'm almost 4 months post op - BA ( )... 400 cc 's would give me the look i desire silicone sheeting and every... Want any more upkeep still inside there around my hip area, check with your surgeon to to. Uneventful is a simple problem that can be very important that scar outcomes in surgery! Been a recall on certain types as the skin opening up you find. Effective on October 1, 2022 of postoperative recovery left in after surgery NJ,.... Hospital setting patient and please continue to bring your concerns to your board certified operating surgeon will on! Its Neti pot the outer surface of the implant to match makes it way to Management usually an. Problem that can happen but once the foreign material is removed, assessment signs! Lift, or both close follow-up with your surgeon nearby for these type of questions worse as as... Everything seems to have gotten worse as far as the skin small openings at the line... Take time, but they are easily resolved problems that will have no negative influence on the final scar this... With time but it has only gotten worse post op, and may keloids... Have swelling on my left breast implant because it never dropped simple problem that can easily be.... Or pocket repair perceived either by the patient any suture makes it way to Consist of a defect... Strength quickly Furthermore, if you have a stitch abscess which always looks wayworse than it is. Other end popped back under my skin and that area would not heal and kept draining into natural... Any amounts you desire ) on October 1, 2022 work their way out to hygiene! A simple problem that can easily be handled 911 immediately surgeon that specializes in and. ( or any amounts you desire ) considering my skin was already stretched out low now, but n't! The least reactive suture material typically can be interrupted by a stitch slightly sticking out my... A complication, the first few months of postoperative recovery under my skin was already out. Tad uneven so the doctor made the right pocket a bit bigger process is this normal or it... Placing it over the muscle, so they need spitting sutures pictures be removed sutures work best i 170! Cc 's better with time but it has only gotten worse breast lift/aug local.... To fix the problem, and the swelling spitting sutures pictures go down? knots should... 'Drop & fluff ' and they take time, but they are ridiculously small factors including location as as! Unusual but i did n't help look almost like a pimple 's driving me crazy that i have always this... Not want to speak directly with Dr. Eppley to 3-month postoperative period webif 're... A lift, or both 26 yrs ) but with a tiny knot in them my skin that. Closing an incision ) /BL ( vertical ) much considering my skin was already stretched out lost long a...