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.
Answer: 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
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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
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Answer: 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.
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Answer: 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.
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July 20, 2010
Answer: 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
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Answer: 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
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July 18, 2010
Answer: 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 of the implant would be necessary if these conservative measures were not successful in eliminating her nasal swelling, redness, and purulence.
If you need to have your implant removed, this should be done as an isolated procedure. When your infection resolves,and and when your post-surgical swelling is gone, you can decide what to do. If your bridge needs to be raised, you could consider a Non-Surgical Rhinoplasty with Injectable Fillers. My personal preference is Silikon-1000 for permanent results. Silikon-1000 does not work well for projecting your tip.
If any of my colleagues wish to learn more about my experience with Silikon-1000, I am giving an instructional cours in Boston at the upcoming Fall Meeting of The American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS). The course is titled "Off-Label Applications of Liquid Injectable Silicone (LIS)", and I will be presenting on 9/24/2010 at 4pm. Common conditions treated include: volume replacement, wrinkle reduction, lip enhancement, acne scarring, and correction of many nasal irregularities (“Non-Surgical Rhinoplasty”). I will also be describing the serial puncture, microdroplet technique that is essential for achieving desired results.
All the best from NJ.
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Answer: 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 of the implant would be necessary if these conservative measures were not successful in eliminating her nasal swelling, redness, and purulence.
If you need to have your implant removed, this should be done as an isolated procedure. When your infection resolves,and and when your post-surgical swelling is gone, you can decide what to do. If your bridge needs to be raised, you could consider a Non-Surgical Rhinoplasty with Injectable Fillers. My personal preference is Silikon-1000 for permanent results. Silikon-1000 does not work well for projecting your tip.
If any of my colleagues wish to learn more about my experience with Silikon-1000, I am giving an instructional cours in Boston at the upcoming Fall Meeting of The American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS). The course is titled "Off-Label Applications of Liquid Injectable Silicone (LIS)", and I will be presenting on 9/24/2010 at 4pm. Common conditions treated include: volume replacement, wrinkle reduction, lip enhancement, acne scarring, and correction of many nasal irregularities (“Non-Surgical Rhinoplasty”). I will also be describing the serial puncture, microdroplet technique that is essential for achieving desired results.
All the best from NJ.
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July 18, 2010
Answer: 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 and possibly use antibiotics based on cultures taken from the procedure.
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Answer: 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 and possibly use antibiotics based on cultures taken from the procedure.
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