The patient is 4 weeks post-op and just had a stitch come out while applying collagen cream after a shower. Initially, she felt a tugging sensation, mistaking it for a tangled hair, but then realized it was a stitch that had loosened and come out. She is on her period, making it difficult to tell if there is any bleeding from the area, but she feels no pain. At this stage of healing, dissolvable stitches naturally begin to fall out, so this is likely a normal part of the process. However, monitoring the area for any signs of separation or unusual bleeding will help ensure proper healing.