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Silicone Injections vs. Ear Cartilage for Nose Asymmetry?

asked 1 year ago by brynze in Philadelphia
Latest answer by Philip Miller, MD
Question viewed 754 times
Tags: asymmetry, silicone implant, cartilage, comparison, septorhinoplasty

What Are the Pros/cons of Getting Silicone Injections to Even Nose Symmetry Vs Ear Cartiledge Build Up/Rhino-Septo Revision?

16 answers to Silicone Injections vs. Ear Cartilage for Nose Asymmetry?

+2

Treatment for Nose Asymmetry with Rhinoplasty

Hi brynze, 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... more
Houtan Chaboki, MD

Washington DC Facial Plastic Surgeon
+2

Silicone in the Nose or anywhere else in the Body is a Bad Idea

Liquid Silicone is best used to lubricate machinery and other moving parts. Experience has shown that injecting it in the body caused intense scarring. I strongly advise you not to. believe the hype and think there is anything new or beneficial to be obtained with such use. Dr Peter Aldea
Peter A. Aldea, MD

Memphis Plastic Surgeon
+2

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.   Good Luck.
David Shafer, MD

New York Plastic Surgeon
+1

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,... more
Philip Miller, MD

New York Facial Plastic Surgeon

www.drphilipmiller.com

+1

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.  
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

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... more
Srdjan Ostric, MD

Chicago Plastic Surgeon
+1

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... more
Peter D. Geldner, MD

Chicago Plastic Surgeon
+1

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
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Caritlage graft versus silicone injections to nose

For very subtle corrections not requring structural stability silicone injections using the microdroplet technique may be useful. However, any substantial correction or structural alteration will likely requure a cartilage graft.
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

Rhinoplasty revision

Silicone injections are not a good idea for rhinoplasty revisions. They are associated with a lot of problems. I would recommend a filler like Radiesse for short term correction or cartilage for longer term correction.
Gary D. Breslow, MD

Paramus Plastic Surgeon
+1

Silicone in the nose

Silicone injections to the nose or any other region of the face is not necessarily a good idea. Silicone injection is not FDA approved for facial fill.  There is a long history of problems with injections of silicone.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Facial or nasal silicone injections cause a lifetime of risk

Nonsurgical correction of a twisted nose, or the enhancement of the nasal bridge sounds attractive, however silicone injections often form liquid cysts which can become inflamed and extrude over time, and once the silicone is injected into the tissue there is no way to get it back out. The risk of disfiguring cysts or granulomas will remain over your lifetime. The sensible option is a natural cartilage graft to straighten and enhance your nose. Best of luck, peterejohnsonmd... more
Peter E. Johnson, MD

Chicago Plastic Surgeon
+1

Silikon-1000 may administered safely 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's critical that your physician is experienced in the serial puncture, microdroplet technique of silicone administration. My favorable experience with Silikon-1000 for permanent facial soft tissue augmentation in over 950 cases was presented at the last AAFPRS meeting in Boston. I am a passionate Rhinoplasty Surgeon, and I don't think that everyone... more
Eric M. Joseph, MD

West Orange Facial Plastic Surgeon

www.ericmjoseph.com

+1

Say No to Silicone Injections

Anyone who does a lot of rhinoplasty has had to take care of a patient who has had silicone injected into their nose. It is not pleasant. Initially the results may look wonderful; however, at any time the area can become red, hard, distorted and not pretty. It could happen right away, or the could occur many years down the road, when you are thinking it isn;t going to happen to you. A better choice is one of the HA fillers. These may require maintenance; however, precisely because the... more
Joseph Mele, MD

Walnut Creek Plastic Surgeon
+1

Do not use silicone injections into the nose

In my opinion this is a very bad option. If you have a problem or do not like the correction, it can not be undone and will not go away. Silicone is permanent - that is the good and bad of it. Some people get terrible reactions to it and it can not be corrected.
William B. Rosenblatt, MD

New York Plastic Surgeon
+1

Do not inject silicone into your nose

Dear brynze, I strongly advise you not to have free silicone injected into any part of your face, or nose as a method for rhinoplasty revision. If you are looking to avoid a surgical procedure, consider Radiesse or one on the hyaluronic acid fillers. Silicone may look good initially, but it has risks: with time it may migrate, or have reactions that can cause lumps, scarring, or disfigurement. Free silicone injection to the face/nose is an... more
Lawrence Tong, MD

Toronto Plastic Surgeon

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