Hard Red Bump (Or Inflammation) Inside Nostril on Columella Sticking Out. Is This Permanent? Easy to Remove? (photo)

2 Months ago I had a closed rhinoplasty to remove the bump on bridge of nose and had cartilage removed on the tip to make it thinner. Since the day the cast came off I have a very red bump sort of thing inside my left nostril on the columella. The other side is a bit red but not nearly as big as the left side. Doctor said it is NOT AN INFECTION or bacteria and is not sure what it is. I took antibiotics and applied antibiotic cream just in case but it did not do anything. Have you ever seen this before?

Doctor Answers 5

Hard Red Bump (Or Inflammation) Inside Nostril on Columella Sticking Out. Is This Permanent? Easy to Remove? (photo)

I see this a lot. It can be from many things. It can be a retained suture, protruding cartilage, scar, cyst and many other things. Without actually seeing it I can not really tell you which one it is. I do agree it is likely not infection. It sounds like your surgeon is giving you good advice. Usually these things do resolve over the course of 6 months to a year. Only a person actually looking at this area and watching it for you can tell you what is best. Keep an eye on it with your surgeon.

Scottsdale Plastic Surgeon
5.0 out of 5 stars 49 reviews

Red Bump Inside The Nostril At 2 Months After Rhinoplasty



Although your photos are blurry and small, what you are expressing may be a suture abscess or an epithelial cyst but highly unlikely an infection.

I encourage you to follow your surgeon's instructions religiously and let nature take its course. Please bear in mind that you are at 2 months post-op and your nose should be almost 40% healed.

If the antibiotics did not work, corticosteroid injection may be of a certain help to your situation.

I hope this helps.

Thank you for your question.

The best of luck to you.

Dr. Sajjadian

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 195 reviews

Hard Red Bump

Lots of possibilities: Folliculitis, stitch abscess, local traumatic irritation, impending graft extrusion (hope not), epithelial cyst, topical drug reaction, acne breakout, etc.  See your surgeon again and another Cosmetic Surgeon if necessary.

Robert Shumway, MD
San Diego Facial Plastic Surgeon
5.0 out of 5 stars 12 reviews

Red Bump on Columella

Redness and bumps are not uncommon following rhinoplasty, though they usually resolve by the 1 month visit.  The red bump shown in the photo at 2 months is a little unusual.  I tend to agree that it is likely not an infection, but it's impossible to tell from just a photo.  In addition, the incisions for an endonasal rhinoplasty often don't extend to that area (though they can, depending on what is done during the procedure)

I recently did have a patient with soreness and redness at the columella 1 month following the surgery.  He essentially asked the same question you did.  As it turns out, that patient had a habit of "flicking" his nose/nostrils with the side of his fingers.  This was causing the incisions to remain red and irritated.  


It sounds like you're doing the right thing--trial of antibiotics, tincture of time...The one other thing to try is a small steroid injection to see if that calms the irritation down.  

Andrew Winkler, MD
Lone Tree Facial Plastic Surgeon
4.5 out of 5 stars 9 reviews

Hard Red Bump (Or Inflammation) Inside Nostril on Columella Sticking Out. Is This Permanent? Easy to Remove?

Yes the posted photo shows either a suture retained abscess. Or epithelial inclusion cyst that is inflamed. I recommend excisional removal. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 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.