Had random infection/absess (~7 years ago, not treated). After the incident there is bump at the upper end of the supra-alar crease. Inside the nose, the non-effected side the cartilage pinches in, but on the effected side is pretty much wide open like a dome. The cartilage is springy like a button (rubber dome key), sometimes if I push it will stay in and pop out a fraction of second later. Its amusing but I wonder how hard it would be to fix it.
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There are three important points about suture.
1. absorbable vs nonabsorbable
2. size and type of needle (measured by diameter of curvature of suture--they have different shapes)
3. size of the suture. (2-0 is thicker than 5-0 of the same material.)
These together help...
Alar reduction, if performed in a conservative fashion, will not create a breathing problem. It is also important to make sure that there is no underlying preexisting abnormality such as a deviated septum or valve collapse that are already restricting the airflow through the nose.
Yes, it is ok after 3 months to begin using the topical cream. I would begin using it every third night for one week, then every other night for a week and if you can tolerate it, once a night. The nose is more sensitive than other areas on the face so you may not tolerate it every...