**13. Technique and procedure**

Every granuloma in the skin that causes cosmetic problem must be removed. Granuloma at inflammatory phase must also be removed to prevent the extension of inflammation. Local or general anesthesia could be used for procedures of skin excision, granuloma curettage, or installation of nasal implant. Instruments that must be prepared included minor surgery set, which can be equipped with curettage kit for cases that need curettage.
