Do permanent sutures in the nose have risks?

Question

Is there any risk of rejection of sutures that hold cartilage grafts in place?

Thomas J. Walker, MD, FACS · Answer

This is somewhat controversial. Permanent sutures have a higher risk of infection and extrusion than non-permanent sutures. Hence, I refrain from using permanent sutures in the nose as slowly resorbable sutures yield the same results in my opinion. Once the sutures absorbed, scar tissue will have formed by that time to stabilize the structures and sutures are no longer necessary.

Stephen Weber MD, FACS · Answer

The main risks of permanent sutures in the nose are stitch abscess, visible suture knot or extrusion of the sutures. All of these are very low risk. I prefer a longer lasting temporary suture such as PDS which provides months of suture fixation of the cartilages but is eventually totally reabsorbed eliminating the risk of suture issues over the long term.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Gary M. Horndeski, MD · Answer

I've used both absorbable and permanent sutures without any issues. It really comes down to surgeon's preference. Hope this helps.Kind regards,Gary Horndeski M.D.

Kenneth Hughes, MD · Answer

I use sutures that are broken down over a period of months to avoid these potential issues with permanent sutures.  Kenneth Hughes, MDLos Angeles, CA

Stephen M. Davis, MD, FACS · Answer

I use non-permanent sutures, because I believe the scar that forms is strong enough to hold the tissues in place after things have healed well.Good LuckStephen M. Davis, MD, FACSGreen Hills Plastic Surgery

Do permanent sutures in the nose have risks?

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Do permanent sutures in the nose have risks?

Answers (8)

Answer: Do permanent sutures in the nose have risks?

Answer: Do permanent sutures in the nose have risks?

Answer: Permanent sutures in the nose

Answer: Permanent sutures in the nose

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Everything you need to know about Rhinoplasty

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