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Nose Re-Surgery

Can you tell if this is inflammation?

It does not hurt, but when I touch the columella area, there is a little pain? It suddenly turned red. I had surgery 2 years ago, and it is a 5 mm silicone implant with ear cartilage at the tip. A few months ago I also posted because the cartilage at the left tip was becoming visible, and I decided to slowly look into removal, so last month I went only to ㅊㅁ and ㅍㄹㅁ (I live in the provinces). I have been so busy with real life that I had forgotten about the visible cartilage, but today it suddenly became like this again, so I am insanely worried What do you think? Could it be acne? The reddened area almost exactly overlaps with the area where the cartilage is visible.

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