What does inflammatory response from pds 5-0 sutures look like in tip of nose?

Question

I have a small hard round ball on the tip of my nose that has not been getting any better it seems. The surgeon used pds 5-0 sutures to shape and lift my tip and also resected and repositioned the LLC. Is it possible for "suture knots" to cause this type of reaction and persist for 3 months? Or is this most likely my lower lateral cartilage edges? How would this be fixed if it is my lower lateral cartilages.

Fred J. Bressler, MD, FACS · Answer

Your photo suggests that you may have a structural problem related to your modified, natural lower lateral cartilages or a tip cartilage graft which is visible through the skin. It is unlikely that this is caused by PDS suture or a suture granuloma. Discuss this with your surgeon. If you have a cartilage graft on your tip, perhaps remove would easily correct the problem. If you are suffering from tip bossa, then you will likely need additional correction for improvement.

Raghu Athre, MD · Answer

5-0 PDS first of all is the correct type of suture to use in the tip.  It appears from the picture that the "ball" may be secondary to underlying anatomy rather than the knots of the 5-0 PDSTalk to your surgeon!

David Reinstadler, MD · Answer

PDS sutures can take six to nine months to dissolve completely. They usually don't cause a visible bump. It looks like the tip may be related to the actual underlying anatomy with the tip cartilages. I would bring it up with your surgeon because they know exactly what was done and where each type of suture was placed. Best of luck

Richard W. Fleming, MD (retired) · Answer

It is extremely rare that  5.0 PDS sutures would be visible under the skin after rhinoplasty surgery. The pictures you posted suggest that the sharp edges are secondary to the underlying tip cartilages. Discuss with your surgeon or schedule an examination with another surgeon.

What does inflammatory response from pds 5-0 sutures look like in tip of nose?

Answers (4)

Answer: Suture Reaction after Rhinoplasty

Answer: Suture Reaction after Rhinoplasty

Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.

What does inflammatory response from pds 5-0 sutures look like in tip of nose?

Answers (4)

Answer: Suture Reaction after Rhinoplasty

Answer: Suture Reaction after Rhinoplasty

Browse related questions

Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.