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How Long Do I Have to Wait After Taking out Infected Nasal Implant Before I Can Have Revision Surgery?

asked 1 year ago by sassygrl in atl
Latest answer by Sam Naficy, MD
Question viewed 833 times
Tags: cartilage

I had a primary rhinoplasty with I silicon implant and septal cartilage around 2007. My nose got infected a few months ago and I was advise to take the silicon and cartilage out. I also have a red bump at my columnella. I'm getting the removal in about three weeks. How long do I have to wait after implant removal to get revision rhinoplasty using all rib cartilage? Also is removing cartilage from a previous surgery a hard process? because i hope my tip doesnt turn out deformed.

8 answers to How Long Do I Have to Wait After Taking out Infected Nasal Implant Before I Can Have Revision Surgery?

+1

Infected silicone

If your own rib cartilage is being used for the reconstruction it is typically OK to remove the infected silicone and use rib cartilage at the same time
+1

Revision rhinoplasty after removal of infected nasal implant

It is important to wait a year after the resolutions of any redness and infection prior to undergoing extensive rib cartilage grafting to the nose. The last thing you want to have happen is for the rib cartilage to get infected and that will have to be removed.
+1

Infected Nasal Implant

Assuming you have removed the implant, I would wait at least 6 months after treatment of the infection to have revision surgery. I would not remove previous cartilage grafts which can be used during your reconstructive surgery. We usually recommend using the patient's own tissue in augmentation rhinoplasty because your experience with implants is not rare.
+1

Infected nasal implant

If you truely have an infected nasal silicone implant, it should be removed immediately. You DO NOT leave infection simmer with a foriegn body infected. Resurgery after that depend on the healing. Once completelt healed, you need to wait 3-6 months. I strongly lean toward a RIB graft because it will resist infection better than any foriegn body. The treatment of foriegn body infection is removal of the foriegn body and continue treating the infection with proper antibiotics,... more
+1

Wait after taking out infected nasal implant before I can have revision surgery

Rule of thumb is 3 to 6 months. But there are always additional issues to determine when a revisional operation can be done. Please consult with the chosen surgeon in detail. From MIAMI Dr. B
+1

Removal of silicone implants

If you need to have your silicone implant removed from your nose so that your infection heals, I would sya that you would probably have to wait about 1 year to have a revison performed.  You really have to wait until the soft tissues...well..soften.
+1

Infected silicone nasal implants may need to be removed if conservative treatment fails.

I recently treated a Phillipina patient that had an infected silicone implant in the bridge of her nose, without removing the implant. She presented to my office with a painless red swelling on the bridge of her nose many years folowing Rhinoplasty Surgery in the Phillipines. She had a localized abscess (collection of pus) that required drainage twice in the office; and she required a full month of antibiotic by mouth. I advised my patient during our initial consultation that removal... more
+1

Silicone nasal implant removal and replacement with cartilage graft for nose job

There is great controversy in regards to this topic and it is likely you will get several different opinions. Obviously getting a rib graft is a major surgery and you want to do this under optimal conditions. Once a graft is removed, it is essentially dead and depends on the recpient site for blood supply. If that site is contaminated the graft could become infected. Some would immeadiately replace the cartilage with graft, but in my opinion, I would wait for a minimum of 3 months... more

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