Is this suture granuloma? (Photo)

Question

5 years ago I had septoplasty for a deviated septum, but had an abscess as a complication. Consequently, I developed a saddle nose deformity. A year later I had a reconstruction. My caudel septum was completely missing and was replaced with a graft and fixed with the tongue in groove method and with permanent sutures. I also had a dorsal onlay graft made from diced cartilage. 4 weeks ago my nose suddenly turned purple and now I am left with this white spot. It still is sensitive.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs alone, it is difficult to determine if this is a granuloma. It is Probably more likely that the swelling has continued to decrease in your tip and is now showing some contour regularities. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

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