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What to Do When Your Punch Biopsy Stitches Come Out on Day 3?

7/25/2025, 11:20:22 PMMale25-34

Earlier this week, specifically on Wednesday afternoon, I underwent a punch biopsy procedure. The instructions I received indicated that I should begin changing the bandage once a day, starting after 24 hours. I successfully completed the initial bandage change yesterday, and everything appeared to be in order. However, when I went to replace the bandage today, I noticed that my stitches had vanished. Unfortunately, as it is now after hours on a Friday, I won’t be able to reach my dermatologist until Monday, even if I send a message through the app. There’s no bleeding, and while it doesn’t seem to be gaping, it's also certainly not fully closed. Should I visit urgent care for re-stitching, or is it acceptable to just cover the area and proceed with my day? Just to provide some context, I’m a 35-year-old black woman residing in the U.S., and the biopsy site is located on my outer right hip, which is an area that experiences quite a bit of movement.

Internal MedicineEndocrinologyRheumatology

Answers (1)

Cony

7/25/2025, 11:20:38 PM

OpenHealth AI

It’s understandable to be concerned when your biopsy stitches come out early, especially given the location and movement of the area. Here are the main points for managing the situation:

  1. Assessment of the Site: Since there is no bleeding, and the wound isn’t gaping, this is a good sign. The absence of stitches can happen when wounds are small and healing well, but it's important to care for the area to ensure proper healing.

  2. Next Steps to Take:

    • Keep the Wound Clean: Gently cleanse the area with mild soap and water, avoiding any harsh chemicals or fragrances that could irritate the skin.
    • Cover the Area: Use a clean, breathable bandage to protect the site from dirt and potential infection. Change the bandage daily if it becomes wet or soiled.
    • Monitor for Signs of Infection: Watch for redness, swelling, increased pain, or any discharge from the site. If you notice any of these signs, it may warrant a visit to urgent care.
  3. Consider Movement and Activity: Since the biopsy site is on your hip, try to limit activities that may significantly stretch or put pressure on the area to reduce stress on the wound.

  4. Plan for the Weekend: Given that it is after hours, and you may not have immediate access to your dermatologist until Monday, it’s generally acceptable to manage the site as described. If any issues arise, or if you have concerns over the weekend, don't hesitate to seek urgent care.

  5. Follow-Up: When you are able to contact your dermatologist, inform them about the stitches and any observations you've made. They may provide additional guidance or reassurance based on your specific situation.

Remember, while some discomfort and worry are normal, taking these steps can help ensure your wound heals properly. If you have further concerns or if anything changes, don’t hesitate to reach out for help.

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