Scar tissue or swelling after removal of nasal implant?

I'm a 24 year old Asian girl who had Rhinoplasty 4 months ago. I had an L-shaped silicone implant to increase the bridge height, and ear cartilage graft for tip projection.

I was unhappy with the results. The implant made my nose look big and unnatural. I took the implant out 7 weeks ago. However, my nose is still not back to its pre-op state.

My nose is still notably bigger and wider than it was pre-op, even though I have already taken the implant out. Is it because my nose is swollen or is it due to scar tissue and stretching of the skin? Will my bridge eventually return to its pre-op state?

5 answers to “Scar tissue or swelling after...”

A: Graft can make the tip look large and swollen relative to the rest of the nose.

William Portuese, MD

After an L-shaped silicone implant has been removed, bridge height should return to its natural pre operative position. The ear cartilage graft, or tip projection, if that is still in place in the tip, will make the tip look large and swollen relative to the rest of the nose. The ear cartilage graft may need... more

A: Scar Tissue in Nose After Removal of Silastic Implant

Michael A. Persky, MD

Hi Reason, Often times after the removal of an implant there is residual scar tissue present that may or may not resolve.  Injection(s) of low dose Kenalog (a steroid) may facilitate the retreat of the scar tissue.  Discuss this with your surgeon.  Good luck and be well. Dr. P

A: Rhinoplasty swelling can take a long time

Robert M. Freund, MD

It will be impossible to judge at this stage, if the swelling or scar tissue is the cause or is it a distortion of your nasal anatomy, as a result of the previous surgery. From this point, I would advise that you wait at least a year to establish if the problem is related to scarring or not. Then you can... more

A: Nose will probably go back to original size

Toby G. Mayer, MD

This is swelling and the nose should return to the original shape or almost. The tip graft however will still be there. You will get some augmentation of a small amount of scar tissue, but not much.

A: Nose will further change but may never return to preop look

Frank P. Fechner, MD

Without being able to examine you I would estimate that by 4 months approximately 80% of swelling has subsided. Your nose may never look exactely as it did before your rhinoplasty. Silastic implants heal by forming a thick fibrous "scar" capsule around them which cannot return to "virgin"... more

Comments

Ukari
unregistered guest

20 Apr 2009

How much would it cost to have a nasal implant removed? I had a nose job about 13 years ago and had a nasal implant inserted. the implant has slipped and I can feel it underneath my skin.

Blueberry
4 posts
21 Jun 2009

Hi, I am also an asian girl who has EXACTLY the same case as yours. I had the nose implant removed after 1 month of insertion. Its been a year and nose shape does not go back to its pre-op state. I am also very worried and wonder how is the progress with you nose? And maybe you can do some research on 'cold laser' which I've purchased but have not arrived.

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