Nasal implant revisions require further evaluation
Unlike many other more general questions, your question is best answered after a thorough evaluation.
In general, foreign implants in the nose are not a good idea and we rarely ever use them. However, experience has shown that silicone or other prosthetic implants can and are used in certain ethnic patients with varyingly good results.
In your particular situation, we would have to evaluate why the prosthetic is crooked, is it mobile, and is the overlying skin doing well? Occasionally...