Should I go with permanent or dissolvable stitches inside my nose for rhinoplasty?

Thank you for the great question. First, suture selection in rhinoplasty is a bit of an esoteric topic and I am a little surprised that this choice was put on you. Second, most surgeons have clear preferences that they develop in training and building their practice; these are specific to the ways that they handle the tissue and are not "right" or "wrong" in any way. In my rhinoplasty practice, I use long-acting absorbable sutures inside the nose (e.g., PDS or vicryl). For the skin layer, I use nylon and remove these about a week after the surgery. Mucosal stitches are generally performed with a shorter-acting absorbable material, such as gut sutures. Best of luck and take care!

Hank you for the question. There is not a wrong answer to your question. Either is fine. I personally use dissolvable sutures.

This is odd that a surgeon would ask you to select sutures. Most of us have standard practices and although it may different from surgeon to surgeon, any individual surgeon will usually have a protocol. I use PDS suture for the cartilage as it is slowly absorbable and gives good fixation, though I have used clear nylon in the past too. I use nylon across the columella in open tip rhinoplasty and use chromic gut sutures that absorb on the mucosal layer.