Pulled Dissolvable Stitch out After Rhinoplasty

Hi Denver gal,
As one of my fellow residents in training used to say, "NTW". Not to worry. The stitches could be removed after 5-7 days without affecting the outcome of your rhinoplasty. The time that dissolvable sutures take to dissolve varies depending upon the moisture, between 10 to 21 days. Do not pull too vigorously on anything else though.
My fellow resident also was fond of saying, "Jacuzzi to me Stat!” which sounds like a good idea for me right about now.
Be well and enjoy your new nose.
Dr. P

In my practice, I advise patients to never put anything inside their nostrils to clean their noses. Instead, I have developed a detailed protocol as to how to use water effectively clean the nose without disturbing tissue or sutures. Nonetheless, if you have pulled a dissolvable suture, the likelihood of your doing permanent damage is slight, as the sutures usually need to remain for a week or so for the skin and mucosa to heal, and are generally no longer needed after that. They usually dissolve on their own after about 2-3 weeks. As a specialist in rhinoplasty surgery, I often remove or trim these sutures during patients’ follow-up visits. If you ever have any questions, please don’t hesitate to reach out to your surgeon to discuss your questions and concerns. That’s what we are here for!

Thanks a lot for writing to us,sometimes this events happen accidentally make sure you tell this to your surgeon next time you have your post op check,but definetly wont affect your recovery,The time that dissolvable sutures take to dissolve will varies in the mnoisture of your nose it will take a few weeks to,dependimg in the post op that you are having,be careful and good luck with you recovery . 

The absorbable stitches inside the nose can be removed and will not effect the eventual result. The problem happens if all of the stitches are removed in the first week as that would allow skin edges to open  up. RegardsDr. Janjua

Thanks for your question. Accidentally removing 1 dissolvable stitch a week after surgery likely won't have any negative impact on your results. Although you should still be careful with your remaining sutures, this is not an emergency situation. Good luck with the remainder of your recuperation.

We use dissolvable Chromic sutures in the nose during rhinoplasty surgery, and it is common for these to fall out, or become dislodged with cleaning during the first month postoperative. You may wish to place a call to your surgeon for reassurance, but in our practice, this is common and expeted during the healing process.Hope this helps you.Dr Joseph

The dissolvable sutures inside the nostril are used to make sure the incision is well approximated.  They are not structurally important.  The incision is dependent on the suture for only a few days after the operation and removal isn't a problem.  Its very unlikely you did anything to change your eventual outcome.

If you didn't notice anything different and haven't experienced any bleeding or pain, then it may be okay. But just in case, you may want to see your surgeon for a checkup.

Absorbable sutures are commonly used for closure of the internal incisions during rhinoplasty. Depending on the exact material, they may dissolve in a matter of days or may last up to about 3 weeks. At the 1 week mark following rhinoplasty, the skin incisions have healed quite well and the skin sutures are no longer required. If you accidentally pulled out an absorbable suture, this should have no untoward effect on your result. You should mention that this happened when you see your surgeon in follow-up if you are still concerned.

It’s
not unusual for patients to encounter suture remnants inside their nose
following rhinoplasty. These are typically absorbable sutures which are used to
close the intra nasal incision. Depending upon the type of suture used, they
have usually dissolved within two to four weeks following surgery.















Occasionally,
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.

Dissolvable sutures come out all the time after a rhinoplasty so I do not think you have done any harm to your procedure.  It is important not to pick your nose or disturb the inner part of your nostrils after such a complex procedure.