Stitches under breast after mammaplasty (breast surgery)

Medically reviewed: 3, November 2023

Read Time:10 Minute

Stitches after mammoplasty (breast augmentation and reduction)

Stitches are used in surgery to stitch wounds and connect the edges of the skin with suture material. For suturing, needle holders and curved or straight needles of different cross-section and curvature are used.

Care for postoperative scars is very important and painstaking, since an incorrectly formed scar can lead to an unsuccessful result and a non-aesthetic appearance after a breast correction.

Because it is important to know how you will be stitched, because much depends on the plastic surgeon and in truth, is a “jewelry” work.

The following conditions should be determined, in a process that the quality of the scar is acceptable to the patient:

  • surgical incisions are sewn without excess skin tension;
  • wound wound, with the help of modern surgical materials;
  • the method of intradermal suture is used;
  • patients, observe the correct rehabilitation period;
  • cuts are made in the right place and after suturing make the wound almost invisible to others;
  • Use dermal glue – if necessary;
  • use of plasters, sprays, plasters, creams to improve the quality of stitches.

Preparation for the operation consists of several stages

  • choice of clinic;
  • consultation with a doctor;
  • adherence to proper diet;
  • delivery of all necessary tests;
  • consultation of a gynecologist and mammal doctor;
  • for two weeks before the operation to stop taking hormonal drugs.

Types and methods of connecting tissues depending on the type of operation

Having defined the type of plastic surgery, you can learn and kaike there are methods of applying seams, their types and principles of application.

So, in carrying out reduction mammoplasty (reducing breast size), there are several types of tissue connection.

One type of breast reduction is the application of the short suture method.

With this method, the thread passes from the nipple to the lower fold of the breast. Such a suture is assumed when it is necessary to remove not more than 800-hundred-one hundred grams of tissue.

This application technique is low-traumatic and has practically no complications.

T-shaped method

There is also another technique for breast reduction with the help of a T-shaped or anchor method of connecting tissues.

The thread goes down and joins there with a seam under the pectoral fold. This technique is used when it is necessary to remove a sufficiently large volume of tissue.

The thread that passes through the pectoral fold is almost invisible. Vertical and horizontal seams, well heal and invisible. The final form of the seam acquires a year after the plasty of the breast.

With breast augmentation there are also several types:

  • Periaroleol is applied to an incision made in the areola. It has an aesthetic appearance and does not cause discomfort;
  • Submarine – is applied to the incision in the crease under the breast. This type of suture is suitable for women who choose an implant of medium volume, in this case the fold becomes deeper, and the seam is less noticeable.
  • axial method – the incision is located on the armpit.
  • tuba – a thread in the umbilical fold. In this form, only the maintenance of the salt implant is possible, first the sheath is introduced, and then a saline solution is injected into the implant using a syringe.

Invisible scar – is it possible and depends on what?

Speaking of surgical intervention, there is always a scar (scar) on the skin. But, such a scar can be invisible or almost invisible.

It depends on a lot of factors, and the task of the plastic surgeon is to reduce the invisibility of the seam to the most inconspicuous level.

More modern scientific developments make it possible to achieve maximum invisibility, thanks to:

  • modern technologies;
  • quality of suture material;
  • seams, which will quickly heal and dissolve.

When performing the “invisible seam” technique, it is necessary to take into account such nuances as:

  • depth and extent of the wound;
  • physiology of the skin;
  • individual features of the organism;
  • elasticity of the skin.

The plastic surgeon Michael Jameson also uses the method of “breast without a seam”, and believes that the operation has special advantages that consist in the disappearance of traces after the operation within five days.

Also, when using this method of carrying out mammoplasty, drainage is not required, and therefore additional incisions, punctures on the chest do not awaken.

The undeniable advantage of this type of breast plastic surgery is ultrasound scanning and no fluid and hematomas are formed, and as a result, the postoperative period wakes up quickly and painlessly.

In carrying out such an operation, the plastic surgeon uses glue, that is, the skin is not stitched, but practically glued.

This glue contains a biological preparation – fibrin.

The technology of such plastic surgery consists of the following stages:

  • availability of special equipment;
  • presence of a system for the supply of glutinous composition;
  • prepares a special fibrin glue, which consists of different substances, including fibrin.

This method of conducting the operation is not known to anyone.

Not every surgeon can carry out the plastic surgery of the breast with the help of glue, because:

  • special equipment is required;
  • operation is expensive, and not every woman can afford it.

What should I restrict myself to?

An important and undoubtedly one of the main stages in the mammoplasty is the postoperative period.

In order for it to pass painlessly and quickly you should listen to the doctor’s recommendations, and also be sure to follow the process of wound healing and postoperative scars.

In the postoperative period, try to limit yourself in physical activities and lead a less mobile way of life.
Do not also not lift weights, as this can contribute to the divergence of the filaments, which in the future will lead to unpleasant, undesirable consequences.

It is also necessary to stay in the right position, not to lie on the chest, because this can lead to deformation of the scars and formation of a non-aesthetic and noticeable scars.

Watch the healing process, and if you have pain that is not related to postoperative scars, be sure to contact your specialist for quick answer and fast problem solving.

When the sutures should be removed after mammoplasty

Usually, the threads are removed at the first consultation with a plastic surgeon, after the operation.

If, the rehabilitation process was painless, and there were no complications, and the scars after the operation heal fairly quickly, the suture material will be removed painlessly and quickly.

External scars after mammoplasty, if they were performed without a bioresorbable material, the filaments are removed within seven or ten days after the operation, and internal seams dissolve independently.

In the first days after the operation, a bandage is applied to the wound, and then when the scars lighten it is necessary to use a special cream.

If we talk about the aforementioned absorbable materials by means of which sutures are applied, consult your doctor if such external threads are needed.

Because they dissolve within two three months, and to their tips can stick, figuratively speaking, dust, dirt that can lead to infection in the wound.

What to do if the scar broke

Mammoplasty, like any other plastic surgery, is accompanied by surgical intervention and trauma to the soft tissues of the patient.

And the next task of the plastic surgeon is the correct application of the technique of applying threads to the incision, which further minimizes the risk of getting the infection into the wound and promotes its rapid healing.

If the threads parted, do not panic, examine the wound and immediately consult a surgeon to assess the situation.

Wound where the stitches ruptured should be treated with an antiseptic, this may be a solution of brilliant green or iodine.

The rehabilitation period after breast correction is very painstaking and requires a responsible approach, so watch for changes that occur with the incisions and the healing process of scars.

Frequently asked Questions about mammoplasty stitches

The application of threads after the operation and the rehabilitation period is very important and can influence the further outcome of the operation.

Do not hesitate to ask questions to your specialist how the postoperative wounds and healing process will heal.

Below is a series of questions and answers to them that will allow us to orient ourselves in this area and be more aware of this kind of operation.

Is it painful to remove the thread?

The answer is not straightforward, since everything depends on:

  • the material from which the thread is made;
  • wounds;
  • human body;
  • psychological mood.

If the wound healing process passed quickly and well, the filaments should not be removed, and the result you will be pleasantly surprised.

What if the corset presses on the scar?

Wearing compression underwear after surgery is very important for the patient, as it plays an important role for the outcome after the operation.

The corset can press on the scar because it was incorrectly selected and does not match the size.

It is necessary to approach the choice of corset in a responsible way, so that there are no problems with it.

If, the corset provides for several fasteners, try to loosen it, but consult your physician beforehand.

Why does the place of the cut hurt?

The reasons for the pain of the incision after the operation can be different. From the simple friction of clothes to various postoperative complications.

In the first week after the operation, it is necessary to take painkillers to reduce pain.

Also, if you make sharp movements with your hands, in the chest area after the operation, you can also be accompanied by pain, since the incision sites are very sensitive.

How the correction of the scar is done?

The surgical wound is a serious matter, since it affects the deep layers of the skin. After joining the edges of the incision, the scar formation begins.

Scars and scars after surgery can cause emotional distress, and sometimes disagreement in intimate life.

Correction of scars and scars will permanently rid you of unpleasant sensations and dissatisfaction with yourself.

The technique of correction of the seam exists a lot, but the main one is the surgical excision of the scar.

Such a technique gives effective results if there are extensive scars, deformities and contractures.

Excision of postoperative scar should be carried out after its “ripening”, namely within three months to two years.

Surgical excision of the scar can be carried out under both general and local anesthesia. This operation lasts from 30 to 60 minutes.

How can I take care of the stitches?

After the operation, the incision must be treated immediately, and then after the operation within two weeks as it heals.

Immediately after mammoplasty, the sutures should be treated with special means that your plastic surgeon will appoint, do not self-medicate as it can lead to undesirable complications.

Treatment of the incision site can be performed by antiseptics such as:

  • iodine;
  • alcohol;
  • ordinary manganese;
  • you can also use the green solution.

Antiseptics accelerate the healing process under the crust. After that you can grease the seam with ointment “Kontraktubeks” and use a silicone adhesive.

What if I get blood from the place of the incision?

The blood that appears from the incision site can be serious complications, so do not hesitate, you need to see a doctor in order to establish the cause of the bleeding and prevent it.

What to do if the wound is suppurated?

The wound after the operation suppures, due to the fact that various microorganisms enter the wound area.

Often the suppuration of the incision can be if:

  • in the process of incision, hematomas formed (blood accumulation);
  • in places of blood accumulation, which serve as a good environment for the multiplication of bacteria and the occurrence of infections.

With the confirmation of the diagnosis of suppuration of the wound, the doctor immediately proceeds to treatment:

  • threads should be immediately taken off;
  • The wound is treated with various antiseptic drugs (hydrogen peroxide, chlorhexidine).

Doctor can also recommend injection of antibiotics that will kill germs caused by suppuration.