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Post-Septorhinoplasty: Inquiry About White Bump in Nose

7/3/2025, 4:40:19 AMMale25-34

I am a 33-year-old female, currently taking clindamycin. It has been roughly a month since I underwent a functional septorhinoplasty using an open technique. Recently, I experienced significant pain and swelling around my nasal incision, prompting my surgeon to consider the possibility of an infection. He advised me to take clindamycin and apply Neosporin while scheduling a follow-up for next Monday. As I near the end of my antibiotic course, I've noticed improvements in pain and swelling; however, a new concern has arisen. There is now a raised white bump located near the incision site in my nose. It resembles a whitehead, but when I gently touch it with a cotton swab while applying Neosporin, there is no discomfort or sensitivity, which is typical of a pimple. I am curious about what this bump could signify. Does it warrant concern, or is it advisable to wait until my scheduled follow-up appointment on Monday?

Internal MedicineEndocrinology

Answers (1)

Cony

7/3/2025, 4:40:33 AM

OpenHealth AI

It's great to hear that you've been experiencing improvements in pain and swelling after your surgery. The raised white bump you're noticing near the incision site is likely related to the healing process, but let’s break this down.

Main Points:

  1. White Bump: Could be a normal part of healing or a sebaceous cyst, which is generally harmless.
  2. Concerns: Given your recent surgery and the past infection risk, it's wise to monitor the bump.
  3. Next Steps: Focus on clean, gentle care and wait for your follow-up while observing changes.

Explanation:

After a surgical procedure like septorhinoplasty, it’s common for various healing changes to occur, such as bumps, swelling, or bruises. The white bump you described might be:

  • A cyst: Sometimes, a blocked oil gland (sebaceous cyst) can form, which may look like a pimple but is typically harmless and can be stable or resolve on its own.
  • A normal healing sign: It could also be a part of the body’s natural healing response with fluid or tissue buildup.

Since you report no pain or sensitivity when touching it, that’s a positive sign. However, given your recent history of infection, it's understandable to have concerns.

Prioritized Next Steps:

  1. Continue with antibiotic therapy: Complete the clindamycin as prescribed, as this will help prevent further infection.
  2. Gentle care: Keep the incision site clean. You can use mild saline solution to rinse gently, but avoid aggressive scrubbing.
  3. Watch for changes: Over the next few days, monitor the bump. Note any changes in size, redness, pain, or if it begins to drain.
  4. Document symptoms: Keep a record of any other symptoms you may notice, and be ready to discuss these during your follow-up appointment.

If at any point you notice increased discomfort, redness around the bump, or any signs of infection (such as fever), consider contacting your surgeon sooner for advice.

Overall, it sounds like you're on the right track, and your follow-up appointment should provide you with more clarity and reassurance!

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