Ask a doctor

Is It Necessary to Replace a Silicone Implant if I Simply Want a Tiplasty & a Possible Osteotomy..?

I am an asian female and had primary rhinoplasty 2 yrs ago, in which my Dr. used a silicone implant to heighten my bridge and ear cartilage to improve my tip projection. I'm happy with the height of my bridge but would like to have add'l work done to my tip to further refine its appearance. In conjunction with the tiplasty, I am interested in having an osteotomy (as other Dr.'s have suggested prior to my primary) but was curious whether not my implant would have to be replaced in the process?

Doctor Answers (9)

Tip refinement and osteotomies without altering previously placed silicone implant

+1

Tip refinement and osteotomies can certainly be performed without manipulating the silicone implant.  

Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 23 reviews

Tip plasty and osteotomy after silicone augmentation

+1

Depending on the type of silicone implant used, you can have the tip-plasty and osteotomy without affecting the silicone implant.

Los Angeles Plastic Surgeon
4.5 out of 5 stars 30 reviews

It is possible to leave your implant in place.

+1

Hello,

Yes, it is possible to leave your implant in place and have isolated tip plasty with osteotomys.  Your surgeon needs to be careful to leave the implant capsule unharmed so that cross-contamination chances remain low.  This will also leave the position of the implant unchanged.  One caveat to this is that osteotomies can change the width of the dorsum and this may result in possible contour irregularities along the side of the implant.  This is because the width of the implant was adjusted based on the width of the base of your nasal bones.  If you change this base width, as happens with osteotomies, you may change the relationships between the nasal bones and the implant.  I would recommend you discuss this in depth with your surgeon.

Warmest regards,

Dr. Shah

Denver Plastic Surgeon
4.5 out of 5 stars 15 reviews

Tip Plasty and Osteotomies Without Silicone Implant Removal

+1

A tip plasty and osteotomies can be done without removal of your silicone implant. There is always minimal risk of infection, implant movement or extrusion as there was at the time of original surgery.

Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

Is It Necessary to Replace a Silicone Implant if I Simply Want a Tiplasty & a Possible Osteotomy..?

+1

The tip plasty could be done without removing the dorsal silicone graft but to perform osteotomies, the nasal bones must be broken in the midline and along the base of the nose.  This would require removal of the silicone dorsal graft to allow access to the mid-section of the nasal bones.

Web reference: http://www.drfpalmer.com

Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

Asian Rhinoplasty, Implant and Osteotomy?

+1

If your surgeon is to narrow the nose by osteotomy without lowering the top of the nose, he/she will need to perform both medial and lateral osteotomies.  The implant will be exposed for the medial osteotomy, and then replaced in position after the osteotomy, or a new implant can be used.  In any case, just the physical maneuver of medial osteotomy will likely require some manipulation of the implant.

Web reference: http://feelbeautiful.com

San Diego Plastic Surgeon
5.0 out of 5 stars 36 reviews

Tip plasty and osteotomies without removing a silicone implant.

+1

Tip plasty and osteotomies without removing a silicone implant is possible. There is always a chance, though slight that the implant could get infected.

Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 10 reviews

Revision Asian Rhinoplasty

+1

It depends.  You should have a consultation with a board certified specialist who does Asian Rhinoplasty to determine the best way to achieve the results you desire.  You should tell him/her that you are happy with the height of your bridge with your silicone implant and discuss whether it is possible to keep it.  I'm sure he/she will try to keep it in place if you desire--it just depends on what additional refinements you are looking to have done.

Web reference: http://www.kimberlyleemd.com/procedures2/asianrhinoplasty

Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 5 reviews

Tip plasty

+1

You ask a very good question. In my opinion, if you like the implant keep it. Your intendedsurgery should have no effect on it

Web reference: http://www.drbray.com

Los Angeles Facial Plastic Surgeon
4.5 out of 5 stars 6 reviews

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.

You might also like...