I had a revision rhinoplasty and silicone was used it seems I might have an infection. I have a blob full of puss on the left side of my nostril and its been there for about 7 months. I believe my nose is infected. My doctor is overseas and told me to take antibiotics for 3 days. If need be is it difficult to remove? He was suppose to lengthen my nose and make my nose less bulbous. He place silicone in between my nostrils. Was this the solution? I don't see any length or change.
Is It Difficult to Remove Silicone from Your Nose?
Doctor Answers (7)
Challenges with Silicone
It is highly unusual to have silicone injected into the nose, especially during an actual surgery. Was it perhaps a silastic implant that was placed? If it was the liquid silicone, it can be very challenging to remove, but it sounds like you need to be aggressively treated with antibiotics and then figure out what had been done.
Infected Silicone Implants in Rhinoplasty
One advantage of using silicone in nose surgery is that it is a relatively inexpensive material that is strong, able to be carved and shaped, and can be used for structural support. It also avoids the potential discomfort and complications of harvesting your own cartilage from non-nasal sources (ear or rib). When placed in the body, your tissue reacts to it by making a fibrous capsule and segregating it from the normal tissue. This capsule makes silicone relatively easy to remove, compared to other materials like GoreTex. Being a foreign material, there is a higher risk of infection and implant movement than your own tissue or cartilage. Sometimes infected grafts can be treated with strong antibiotics, drainage of pus pockets, and local wound care. However, the infection often does not improve until the implant has been removed.
Removal of an infected silicone implant is actually quite easy - what is often more difficult is rebuilding the nose with cartilage grafts, typically from your rib
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You need to have the implant removed. You will never clear the infection while it is still there. Once that resolves in several months you can pursue alternatives to silicone implants to achieve the result you want.
Removing Silicone Implant
It sounds like the implant defiantly has to come out... Silicone implants used for dorsal augmentation come out very easily. Tip Implants may require a little more surgery depending on how many pieces where used (one versus 2 etc). But no question your implant should come out.
S It Difficult to Remove Silicone from Your Nose?
Your implants needs to be removed, and you need to be treated with antibiotics for an extended period of time.
If your surgeon is out of town, you should look for someone else. The implant should not be hard to remove.
Infected silicone implant
I doubt that 3 days of antibiotics will solve your problem from what you describe. You need to have your nose examined by someone familiar with rhinoplasty surgery and see what needs to be done.
The silicone implant will likely need to be removed. This isn't terribly complicated to do, but it may be helpful to calm any acute inflammation down first if there's an active infection.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.