I am one month post rhinoplasty and since the third week this annoying flesh like lump appeared in my left nostril. What is it?

Question

I have done some research and the common consensus is that it might be "spitting suture" which is a complication some might experience from absorbable sutures. Does mine look like it's that? Does it go away on its own or do I need to have it removed? My surgeon is away for 10 days so I don't know what to do and I would appreciate your input. Thanks

Marcelo Ghersi, MD · Answer

Seems like you have a suture granuloma.It is also in a tricky place.Make sure your rhinoplasty surgeon sees it and treats it.Otherwise you may end up with an unwanted scar and nostril asymmetry.Good luck. Dr. G

Jawed Tahery, FRCS · Answer

Hi,infection must be excluded, any pain or discomfort?Adhesion could be possibilty which can be divided! If that is the case after careful examination you may need insertion of some sort of splint such as silastic for a few weeks to prevent recurrence!Best wishesJawed TaheryConsultant ENT/Facial Plastic SurgeonChester,UZk

R. Stephen Mulholland, MD (retired) · Answer

Dear Azi2015,

Thank you for your clinical post and photograph.  From the photograph it does appear that at
this early phase you have underlying reaction to a non-absorbable or absorbable
suture or even a piece of trapped superficial epidermal tissue which can lead
to an epidermal cyst.  These types of
suture granulomas or epidermal cysts can usually be well managed when treated
early and occasionally oral antibiotics combined with local management and
often oral antibiotics followed by local manipulation treatment of the tissue
will result in resolution.

It would be important to see your surgeon as soon as they
return to address local management of this concern and it should not compromise
your overall clinical result if managed effectively and early.

The rest of your rhinoplasty from the basal view appears to
be healing well and I’m sure with conservative soft tissue management your
result will not be compromised.

I hope this information has been of some assistance and best
of luck.

For more information, please review the link below.

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto

I am one month post rhinoplasty and since the third week this annoying flesh like lump appeared in my left nostril. What is it?

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Answers (3)

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