Did my Doctor Forgot Some Stitches After Septoplasty?

i had a septoplasty to mix my deviated septum two weeks ago, after 10 days , the doctor took the stiches out which were black colored i think but i found some clear plastic strings tied inside the walls of the nose (where the hair grows) is that normal ?? or did he for got to take them out cuz the were not even close to incision area

Doctor Answers 18

Most surgeons use absorbable sutures internally during nasal surgery

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These likely represent absorbable sutures that were used during your surgery.  It is not uncommon for the to start "falling out" 7-10 days after surgery.  If you have any concerns, please consult with your surgeon.

Metairie Facial Plastic Surgeon

Dissolvable stitches are often used inside the nose

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The stitches used to close incisions inside the nose for septoplasty and rhinoplasty surgeries are usually dissolvable. These stitches are usually light brown or whitish in color and can take a few weeks to dissolve and fall out. Don't be alarmed if you notice them inside your nose after surgery. If a stitch is bothering you and has not yet dissolved, check with your surgeon about having it trimmed or removed. 

Umang Mehta, MD
Bay Area Facial Plastic Surgeon
4.7 out of 5 stars 52 reviews

Temporary Sutures After Septoplasty Are Normal

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Having some dissolvable sutures used to close part of the septoplasty incision is normal. By using dissolvable sutures, they do not need to be removed which is usually more comfortable for the patient. These should fall out on their own within a couple of weeks. If you are concerned or they are bothering you then I would speak with your surgeon to be sure that they are dissolvable sutures.

D.J. Verret, MD
Dallas Facial Plastic Surgeon

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Septoplasty Recovery

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Most surgeons use dissolvable sutures (stitches) inside the nose to close the incisions from a septoplasty or rhinoplasty. These are usually a clear/brown color but can be off-white. They can persist for several weeks until they dissolve, and sometimes a fragment of one will come out on its own.. If you have any questions as what remains in your nose, you should return to see your surgeon.

C. Spencer Cochran, MD
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Could be absorbable sutures!

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It’s not unusual for patients to encounter suture remnants inside their nose following septoplasty.These are typically absorbable sutures which are used to close the intranasal incision.Depending upon the type of suture used, they have usually dissolved within two to four weeks following surgery.
Ocassionally, these sutures can persist, which can result in crusting and scabbing.After approximately two weeks, removal of these sutures should not have structural consequences.Removal should be performed by trained medical personnel to avoid injury to adjacent structures.Nasal rinses with hydrogen peroxide can facilitate removal of these suture remnants.

Stitches after Septoplasty / Rhinoplasty

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Thank you for your question.

Depending on the technique used for the nasal surgery, there can be removable stitches on the skin of the nose, typically on the columella - the part that joins the tip of the nose to the upper lip.

It is also commonplace to use dissolvable/absorbable sutures in the inside of the nose - these can be brown, tan, white, clear, or purple, depending on the surgeon.

I would recommend that you consult the operating surgeon to be sure - while it's unlikely that any sutures were unintentionally left behind, we're all human and so it's possible.  

Doctor forgot to remove some stitches after a septoplasty?

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 In our practice we use only dissolvable stitches inside the nose, so there is nothing to remove after the procedure. We also do not place any packing on the inside of the nose. Expect at least a week of swelling on the inside of the nose and not being able to breathe out of it due to the swelling.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 157 reviews

Sutures Inside Nose After Septoplasty

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Sutures seen on the inside of the nose are typically absorbable.  Your body will absorb these sutures over a few weeks.  Everyone's body absorbs these sutures at a different rate and if they are present at one month or longer they can be readily removed in the office.  

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
4.8 out of 5 stars 177 reviews

Septoplasty surgery and sutures

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The clear sutures after septoplasty often are the absorbable type that will dissolve with time.  Sometimes these absorbable sutures come out on their own before they dissolve.  No worries. 

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
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Absorbable Sutures After Septoplasty

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It is likely you are seeing the residual material from the absorbable sutures that were placed during your septoplasty procedure. It does take several weeks for these sutures to eventually dissolve and go away completely. Saline sprays (essentially medicinal salt water)  in the nose does help to keep things moisturized and promotes faster absorption of the suture material. 

John M. Hilinski, MD
San Diego Facial Plastic Surgeon
4.7 out of 5 stars 44 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.