American Society of Plastic Surgeons
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bibiana
5 months ago
Answered

Naval open with discharge

Hi I had a tummy tuck back in 2017 and the following year I was having discharge from navel and it was showing like a red purple pimple. Was referred to see open wound center but they don’t know what is it sticking out. Here I’m in 2022 with an abcess 1.1cm by 3.7cm went to er and the medical

Surgeon didn’t want to drain and do surgery because this was related to a plastic surgery. What can I do

Procedure: Tummy Tuck
Location: lawrenceville, GA

Replies 7

Gary Culbertson
ASPS Surgeon
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Bibiana,

Sorry to here about your issue. The source could likely be a stich which has not dissolved from your surgery. We commonly refer to this as a stich abscess. Consider getting a copy of your opeartive report from your TT. Then, seek evaluation & treatment expediously by either a general or plastic surgeon employed by a health care system or hospital. Best,

Gary R Culbertson, MD, FACS

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Jaime Campos Leon
ASPS Int. Surgeon
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That is a common problem usually because a foreign material reaction! Usually a non absorbable suture that are used for the abdominal Wall repair, the solution is to remove the sutures surgically and antibiotics! I recommend yo to go back with your Plastic Surgeon in order to get this issue solved!

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Alfred Antonetti
ASPS Surgeon

You can visit the surgeon that did the surgery or see another plastic surgeon for a good exam and recommendation

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Cedric Hunter
ASPS Surgeon

It is likely a permanent stitch that is irritating the skin around the belly button and may be infected. You should see either the plastic surgeon who did the procedure or another board certified plastic surgeon for evaluation and likely stitch removal and management of the infection. Not an uncommon scenario and luckily it is manageable with good care!

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Robert Buchanan
ASPS Surgeon
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I am sorry you having problems, but, fortunately, this is relatively common. Though you did not say specifically, I would assume that the surgeon who did this was not a plastic surgeon since was plastic surgeons are quite familiar with this problem and would have cared for it without referring you to a wound care center that generally has no concept of what is really going on. You need to make sure you have a copy of your operative report and that it is specified as the sutures used or if any mesh was used and see a plastic surgeon. If this is a suture it is relatively easy to correct. You also have a couple of other problems which could be addressed.

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Eugene Cherny
ASPS Surgeon

Hi, i absolutely agree with the others, this is common and an easy fix. when my patients have this, we gently remove the stitch with a sterile instrument, no local anesthesia even needed. if the stitch comes out, it heals almost overnight. your tummy tuck surgeon should deal with this!

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