Anyone had a suture granoloma after MOHS surgery?

@mfb123
Had the same thing happen to me.

I had MOHS surgery on my left hand. Really long incision and wide. Stiches (dissolvable) put in. Two weeks later noticed what look like raised white nodules in several areas.

I had read on A.I. about the name of a condition that can happen after surgery on skin. I have a dermatology appt. on 16th and going to show these nodules to them. I can pass back to you what they say.

Mine raise up very noticeable and several areas. They feel hard to the touch but look more like a pimple or a blister type spot which would not be hard.

Hi,
Thank you for that info. Yes mine is similar. I guess sometimes they have you wait and see if it dissolves on its own or maybe give you an anti inflammatory med. I will touch base with the surgeon. Let me know how your appointment goes.
Thanks,
MB

@mfb123 I have had that happen to me, also. After the MOHS done on my collarbone area, two small areas appeared. It turned out to be the sutures underneath migrating up through the external suture line/scar. I waited until I could grasp the "dissolving material" knot then clipped them out myself.
Ginger

Hi Ginger,
Thank you. That is helpful. It is hard to see if I see some of the suture or not. Glad you were able to clip it out yourself! I am hoping to talk to the dr. tomorrow.
thanks,

@mfb123 Ginger is a brave and experienced soul -- and may I add a lucky one! Although clipping the suture granuloma on her own worked for her without any untoward results, that is not the recommended route to go as there is potential it could lead to infection, re-opening the wound, missing some of the material or causing scarring. Since you've been in contact with your dermatologist and aware of some viable options best to wait to see what the provider advises in your case.

If memory serves, hadn't you also stared on immunotherapy? If I'm correct, may I ask how that's working out for you?

@grammato3
Susan, was told same thing by my MOHS surgeon at Mayo Jacksonville. Do not pull or mess with the dissolving sutures.

@mfb123
Had my appt. Monday with MOHS surgeon said wound healing good but was concern about one nodule about a 1/4 inch from incision. So had to have a biopsy of that nodule. Poor hand really been traumatized.

The surgeon did take some cultures from my incision wound to make sure no infection in there. She did not think so but wants to be sure. She also put me on an antibiotic for a week or until cultures come back negative.

The nodules I was told are common around and in the incision and sutures. But I had so many wanted to check it. And the one module that had gotten quite high taken on a white top (that one was biopsied).

I also talked about the pain. Sharp pain from time to time and then at most times nothing. Was told nerves are damaged and when they come back would get those quick jabbing type pain. But if pain was continuous then contact them. Told can take up to 3-4 for complete healing.

Waiting on the one biopsy and the cultures taken. Was going to do water aerobics today but could not because of the biopsy. Bummer!