What Are the Pros/cons of Getting Silicone Injections to Even Nose Symmetry Vs Ear Cartiledge Build Up/Rhino-Septo Revision?
Silicone Injections vs. Ear Cartilage for Nose Asymmetry?
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Silikon-1000 may be safely used by experienced physicians for Non-Surgical Rhinoplasty procedures.
In my practice, Silikon-1000 is the filler of choice for improving irregularities associated with previous rhinoplasty surgery. It is only injected using the serial puncture, microdroplet technique of silicone administration, which has been well described by others, and is different from injection techniques used for other fillers like HA. My favorable experience with Silikon-1000 for permanent facial soft tissue augmentation in over 950 cases was presented at the 2010 AAFPRS (American Academy of Facial Plastic and Reconstructive Surgery) Fall meeting in Boston.
As a passionate and busy Rhinoplasty Surgeon, I have found Silikon-1000 an invaluable adjunct with many aesthetic applications for nasal rejuvenation. Patients with thin nasal skin and firm nasal cartilage are prone to develop post-operative irregularities that may appear many months after surgery. Stigmata of previous rhinoplasty like: 1) a narrow, pinched, asymmetrical tip, 2) nostril retraction and excessive nostril show, and 3) indentations in the nasal bridge may be addressed, non-surgically, with permanent results in carefully selected patients using Silikon-1000. I have cared for many patients that had nose job surgery elsewhere with post-rhinoplasty irregularities. For nearly all of these patients that were deemed appropriate candidates, Silikon-1000 injections have been a welcome alternative to the uncertainty, expense, and downtime associated with Revision Rhinoplasty Surgery. These procedures have been some of the most rewarding clinical encounters for my patients and me.
Silikon-1000 nasal rejuvenation is typically performed over 1-3 treatments to avoid over-correction. Complications like bumps occur in less than 1% of procedures, and in my practice, have been manageable. Temporary fillers like Juvederm, Restylane, Radiesse, and Arte-Fill, have all been associated with necrosis (dead nasal skin and disfigurement) in a small minority of patients. I am not aware of any cases of necrosis reported with Silikon-1000 which makes it favorable for use in the nasal tip, when indicated.
Based on the responses from other RealSelf experts regarding the advisability of silicone nasal injections, I do not know why there is a preponderance of negativism. Based on my personal experience of well over 1500 Silikon-1000 procedures (as of 12/14/2012), and based on the experiences of my teachers that have been using silicone for soft-tissue augmentation for over 40 years without significant incident, it is my firm belief that Silikon-1000 is a safe alternative to revision rhinoplasty in properly selected patients.
Hope this is helpful for you.
Treatment for Nose Asymmetry with Rhinoplasty
First, be very careful with any injections into the nose. The nose is very susceptible to color changes, discoloration, swelling, blood flow, pain, numbness, and other potential complications with inappropriate injections into the nose.
There isn't a filler on the market currently that is FDA approved for injection into the nose. Everything is being used off-label. Fillers should never be placed into the tip of the nose, since complications may more likely occur at the nasal tip. Fillers should only placed in the bridge to help smooth contour irregularities and to provide augmentation. Avoid silicone injections into the nose. Preferred fillers for the nonsurgical rhinoplasty are hyaluronic acid (Restylane) or Radiesse.
Nasal asymmetry is generally better improved with rhinoplasty surgery. Only after a comprehensive evaluation can a rhinoplasty surgeon help determine appropriate options for you . Best of luck.
Silicone in the Nose or anywhere else in the Body is a Bad Idea
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Silicone Injections to the Nose
My advice would be to avoid silicone injections to your nose or anywhere on your face or body. Silicone injections are permanent and may lead to a lifetime of problems. Please don't confuse silicone injections with silicone implants which are effective. Other options include a surgical procedure to place a cartilage graft or injections with temporary fillers such as Juvederm or Radiesse.
Web reference: http://www.ShaferPlasticSurgery.com
Silicone Injections for nasal asymmetries
There are two controversial issues here. One is that many rhinoplasty surgeons will not put any foreign material into the nose including silicone implants, silicone injections or ePTFE. The other controversial issue is the use of silicone injection anywhere at all. There are those who would never do it and others who have three decades worth of experience and swear it is safe.
My feeling is as follows: While any injection may solve the problem, perhaps it wont. So, put something that will not last forever in first and see how that works. I prefer to inject Juvaderm in very small amounts and see if the patient likes it. There is evidence that collagen may be formed with that type of injection and that further injections are not required. And, Juvaderm can be reversed quickly if it does not look good.
Silicone injections not recommended for the nose
It is always best to use septal cartilage when reconstructing the nose. If it is a cartilage-depleted nose, the second best option is to have ear cartilage used. Silicone injections are not FDA approved and are just not a good idea to have done in the nose.
Web reference: http://www.seattlefacial.com
Silicone Injections, rhinoplasty, revision rhinoplasty, asymmetry, turkish delight
I think the short answer to this question is silicone is not a good idea. Though some surgeons truly swear by it, it has generally gone out of favor for many reasons, not the least of which is that it causes granulomas, inflammation, and erratic results. Cartilage grafts are generally an excellent idea. There are numerous variations on how these are prepared and applied. Some even have quite cute names--my personal favorite is the Turkish Delight, which is essentially a morcellized cartilage graft wrapped in fascia, developed by...you guessed it, Turkish surgeons. The point is: the key is to clearly identify and correct the problem. There are several effective ways to do this, and a ear cartilage graft is certainly one good way.
Beware of silicone injections
Nose asymmetry following septorhinoplasty can occur from several different problems. The best solution is to find the source of the problem and solve the underlying issues. Sometimes the best solution is to camouflage the deformity with the use of cartilage grafts. However, I would be very reluctant to use silicone injections and introduction of any other foreign body into the area of septorhinoplasty to correct asymmetries. It is an invitation for granuloma formation and potential irreparable skin damage..
Nose Asymmetry - Silicone Injections vs. Ear Cartilage / Septorhinoplasty
After reading each experts opinions of the 10 posted 1 was in favour, 9 totally against and one fence. Love Dr Aldea's post. While Dr Placik's has some merit but why not use Radiesse instead. Just some thoughts exchanging here. From MIAMI DR. Darryl j. BLINSKI
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.
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