6 months post-rhino/septo and small bump appeared on nose bridge

Question

I am six months out from primary septorhinoplasty. Surgeon confirmed she used spreader grafts and upon examining nose, she believes the long-lasting dissolvable sutures are poking through the bridge of my nose. I’m trying to find additional opinions on whether this is possible/normal for a Caucasian thin woman with thin skin. Should I get a second opinion? Worried that the skin into which the “sutures” are poking could become damaged from being stretched and prodded.

Ronald J. Edelson, MD · Answer

I would hold off for a year before doing anything. It might be a knit from a stitch which could be removed if needed.

David M. Kowalczyk, MD, MBA, FACS · Answer

Hi there! In patient's with thin skin, the possibility for imperfections like bumps or depressions is much higher. Depending on the type of suture, it is possible that a bump is being created. Other possibilities include scar tissue, temporary swelling, prominent graft edges, or bony spicules. If the bump does not improve by the 9-12 month mark, it may need to be removed. Many times, I will place camouflage material, such as temporalis fascia, to "smooth" the appearance and decrease the likelihood of show-through in very thin skin. I would re-visit with your surgeon to determine what options exist before seeking a second opinion. Hope that helps.

6 months post-rhino/septo and small bump appeared on nose bridge

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