Can my nasal implant be removed?

I underwent Asian rhinoplasty 5 months ago. During the surgery, my surgeon inserted a silicone implant on the bridge of my nose and used ear cartilage to refine my tip. However, this week, I noticed that there was a bump on the tip of my nose. At first, I thought it was a bug bite or a pimple, but it felt very different.

I went in to see my surgeon about this, and he said that my implant is too large and is pushing down on the tip. Thus, a bump has been created. He suggests I can either remove the implant altogether or replace it with a smaller implant. When I decided to get rhinoplasty, I was most concerned about my nostril size and the tip of my nose. I did not have a desire to work on the bridge. My doctor asked me last minute if I wanted to do it, and I said I trust his expertise.

Now, I really don't want the implant anymore (it is also a bit crooked), but I'm scared that since it has been 5 months since my surgery, my skin will have stretched?? Will I look odd (with sagging skin on the bridge of my nose) if I take out the implant completely (without replacing it with a smaller one)? I was actually fine with my own bridge before. My main concern is how I will look afterwards, especially after stretching out the skin with an implant and taking it out at this point. Please advise!! Thank you very much!

Tammi
Los Angeles, CA

4 answers to “Can my nasal implant be removed?”

A: Yes, it can be removed.

Vincent N. Zubowicz, MD

The implant can be removed but the second operation better get things right.  There is a "law" of diminishing returns with any operation.  You might end up with a scarred up and irreparable nose if you submit to too many operations.  I would interview several surgeons who do a lot of... more

A: Better to remove nasal implant soon

Otto Joseph Placik, MD

Generally, removing a silicone nasal implant is better done sooner rather than later. Implants which are kept in for a prolonged period may cause a prolonged tissue reaction which can create additional scarring. Attempting to "save" an implant with antibiotics doesn't tend to work either and usually... more

A: Yes

Anil R. Shah, MD

Generally speaking a nasal implant can be removed. Silicone implants have the least amount of ingrowth from the surrounding tissues and are the easiest implants to remove. Gore-tex and med-por are much more difficult implant to remove due to the tissue in growth. Redness in the nose after an implant can be... more

A: Nasal Implants with Silicone; Asian Rhinoplasty for a low nasal dorsum; Removal of Implants

Raffy Karamanoukian, MD

Asian noses have a specific pattern of low nasal dorsum, wide alar width, decreased columellar show, and thicker nasal skin.  Despite these characteristics, variations commonly occur and should be individually analyzed. In patients with silicone implants to the nasal dorsum, the reason for implantation is... more

Comments

Blueberry
4 posts
8 Jul 2009

Hi Tammy, Hi, I am also an asian girl who has EXACTLY the same case as yours. I had the nose implant removed after 1 month of insertion. Its been a year and my nose shape does not go back to its pre-op state. My nose is bigger and higher since and looks very unnatural. I am very worried and wonder how is the progress with you nose?

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