Nose - Would You Have Used Silicone?

I had to undergo a revision rhinoplasty as my first doctor basically left me with no nose. I have no septum or cartilage left. The doctor who did the revision chose to use silicone to give my nose height, length and some projection. My nose was piggish and bulbous with exposed nostrils. It has been 5 weeks now and it does look better but still feel it is bulbous and a bit piggish. Nostrils are exposed but not as much. Could he have done a better job with rib and ear cartilage? Is silicone bad?

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7 Doctor Answers | Asked by Sharpie

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Silicone to lengthen nose

Although silicone is a decent dorsal implant in thick skin patients it does not allow for grafting of the tip or alae like cartilage does - rib graft is my first choice when significant nasal augmentation is needed

Sam Naficy, MD

80 reviews

Seattle Facial Plastic Surgeon

www.seattleface.com

Using silicone for revision rhinoplasty

I prefer using a patient's own cartilage (septum, ear, rib) for rhinoplasty surgery. Some surgeons so use silicone implants with good results, though. Being only 5 weeks from surgery I would expect there to be a bit of swelling and tip rotation that should settle. It will take time to see your final result. With revision procedures it is usually at least 1 year, if not longer.

Revision Rhinoplasty

"Nose - Would You Have Used Silicone? I had to undergo a revision rhinoplasty as my first doctor basically left me with no nose. I have no septum or cartilage left. The doctor who did the revision chose to use silicone to give my nose height, length and some projection. My nose was piggish and bulbous with exposed nostrils. It has been 5 weeks now and it does look better but still feel it is bulbous and a bit piggish. Nostrils are exposed but not as much. Could he have done a... more

Silicone Implants in Revision Rhinoplasty

Although I am not a fan of silicone implants, many surgeons do utilize silicone without complication. I much prefer to use autologous (material from your body) materials for nasal augmentation and grafting. From your explanation, it seems that a lot of material was necessary in order to rebuild your nasal framework back to normal. In these revision situations I suggest rib cartilage and temporalis fascia for implant and grafting purposes. These materials are not... more

Would I Have used Silicone in Revising your Nose?

I prefer to use the patient's own cartilage in augmentation revision rhinoplasty. However, many excellent surgeons do use silicone implantsand achieve consistent results. Normal post-op swelling can temporarily make a nose look piggish and bulbous, especially after revision surgery.

Richard W. Fleming, MD

9 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Silicone for Revision Rhinoplasty

Hi, Silicone is a great implant if it is used properly. Its very difficult to make any judgments about your nose without seeing it. However, along with a silicone implant, there are other procedures you should have had to improve the appearance of your nose. Silicone alone is not enough. Best, Dr.S.

Silicone nasal implant

Your particular surgeon probably did his very best for you. If you needed the whole nose projected from the face, a propery chosen and trimmed preformed silastic implant is hard to beat. At least in my opinion. Once 6-12 months have passed little change in appearance should occur. The implant however may become mobile to the touch. Cartilage is excellent material but it has it's downsides. If you are to use cartilage harvested from your own body, it requires an ancillary or... more