La tummy tuck It is one of the most effective surgeries for improving abdominal contour, combining external and internal procedures. On the one hand, it removes excess skin and fat. On the other, it reinforces the abdominal muscles with internal sutures that support the structure during healing. Therefore, one of the most frequent questions in consultations is what happens if these internal sutures come loose.
In this article we explain the causes, symptoms, how to prevent it and what treatment is available, so you know exactly what to expect during your recovery.
What function do internal points serve?
Internal sutures are crucial to the outcome of an abdominoplasty. During surgery, the surgeon uses them to tighten the rectus abdominis muscles, which often separate after pregnancy or significant weight changes. This separation is known as abdominal separation. diastasis recti And that's one of the reasons why many patients value a Mommy Makeover, where abdominal repair is combined with other procedures in a single intervention.
In addition to correcting the diastasis, the internal stitches serve three functions:
- They maintain abdominal firmness. They support the new abdominal structure while the tissues heal.
- They reduce the risk of hernias. By joining the separated muscles, the likelihood of protrusions forming decreases.
- They guarantee a lasting result. Proper placement allows the abdomen to maintain a flat and toned appearance over time.
These stitches are usually absorbable, so they dissolve naturally in the body. Even so, during the first few weeks the tissues are more vulnerable and, under certain conditions, the stitches may come undone.
We invite you to take a look at our case studies abdominoplasty before and after.
Why can internal stitches come loose?
Although internal stitches are designed to be strong, there are several factors that can cause them to come loose or cause poor healing:
- Lack of adequate rest: Rest is essential to allow the tissues to heal properly. Intense physical activities or sudden movements during the first few weeks can put pressure on the internal stitches and cause them to break.
- Repetitive coughing or sneezing: Although they may seem like harmless actions, repeated coughing or sneezing can exert significant force on the abdominal area, compromising internal points if precautions are not taken.
- Physical overexertion: Lifting heavy objects, performing movements that involve the abdominal muscles, or even caring for small children can put the integrity of internal stitches at risk.
- Healing problems: Factors such as infections, poor blood flow, or chronic diseases (such as diabetes) can affect the body's ability to heal properly, weakening the tissues that support the stitches.
- Increased abdominal pressure: Conditions such as chronic constipation or fluid buildup (seromas) can increase pressure in the abdomen, making healing difficult.
Symptoms of internal stitches coming loose
While internal stitches are designed to absorb and hold the tissues until they heal, in some cases they can come loose prematurely. Symptoms that could indicate this problem include:
- persistent pain: Pain that does not improve over time or gets worse may be a sign that the stitches are not working properly.
- Bulges or hernias: If the muscles do not remain in the correct position, a bulge may appear in the abdomen, especially when coughing or straining.
- Feeling of separation: Some patients describe a sensation of muscles "opening" or a hollow feeling in the abdomen.
- Excessive inflammation: Although it is normal to have some swelling after surgery, abnormal or localized swelling can be a sign of complications.
- Changes in abdominal appearance: If the abdomen loses firmness or looks uneven, it could indicate that internal stitches have come loose.
If you experience any of these symptoms, it is essential to consult your surgeon for a professional evaluation.
What to do if internal stitches come loose?
If you suspect that your internal stitches have come loose, the most important thing is to act quickly. Treatment will depend on the severity of the problem:
- Immediate consultation: Notify your surgeon as soon as you notice any unusual symptoms. In some cases, tests such as an ultrasound may be necessary to assess the condition of the internal tissues.
- Absolute rest: If it is confirmed that the stitches have come loose, your doctor may recommend complete rest to avoid further complications.
- Surgical repair: In severe cases, an additional procedure may be necessary to reposition the stitches and secure the tissues.
- Management of complications: If there is a hernia or fluid buildup (seroma), your doctor may drain the area or recommend a binder to stabilize it.
How to prevent internal stitches from coming loose?
The key to a successful recovery is to follow your surgeon's post-operative recommendations to the letter. Here are some practical tips:
- Avoid intense physical activities: For at least the first 6-8 weeks, limit any activity that requires physical effort.
- Wear a compression belt: This element helps reduce pressure on tissues and keep muscles in place.
- Take care of your posture: When getting up or lying down, use techniques that minimize abdominal effort, such as leaning on one side.
- Maintain a balanced diet: Eating foods rich in protein and vitamin C can promote healing and strengthen tissues.
- Avoid constipation: Drink plenty of water and eat plenty of fiber to prevent abdominal straining during bowel movements.
- Follow the postoperative check-ups: These visits allow the doctor to identify potential problems before they become serious.
Conclusion
Then, Can internal stitches be released after a tummy tuck? Yes, it is possible, but this complication is preventable with proper care. The success of the surgery depends not only on the skill of the surgeon, but also on the Patient commitment to the recovery process.
If you are considering a Abdominoplasty in Marbella or you have questions about your recovery, do not hesitate to contact the expert surgeons at Cirumed, Plastic Surgery Clinic in MarbellaYou will find an experienced medical team that can guide you through every stage of the process so that you achieve the results you desire safely and effectively.
