Should I Take out my Silicone Nose Job?

asked 1 year ago by ekr
Latest answer by Randy J. Buckspan, MD
Question viewed 630 times
Tags: silicone implant, korea, removal

It's been about 3 years since my last rhinoplasty. I underwent the procedure in Korea b/c they are popular for the use of silicone. However, after a year it started to shift to the left & the tip of the silicone started to stick out through the tip. This year i came back to the same doctor demanding a revision I trusted his expertise and went through yet another silicone implant on the bridge of my nose. It has been 2 weeks & he has drawn out blood through a needle & hospitalized me for 3 nights

10 answers to Should I Take out my Silicone Nose Job?

Infected nose after silicone implant during Rhinoplasty

Yes, IMHO, the L-shaped silicone implant should not be used because they all place pressure on the skin over the tip and many become red and will erode through the skin. Right now, you are under the care of your Rhinoplasty surgeon and will need to remain so until your nose is healed. At that time, you should see experienced Rhinoplasty surgeons about possibly trimming the L section off or removing the silicone implant.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

drfrancispalmer.com

Silicone Implants may not be good in the Nose

You should absolutely have your implant removed and not replaced! Although silicone nasal implants are very popular and common in treating an Asian nose, many will extrude or become infected.

Randy J. Buckspan, MD
Austin Plastic Surgeon

Problems with Silicone Nasal Implant

The writing is on the wall - if you were my patient I would remove the implant, treat the infection, and later augment the nose with your own cartilage.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Should silicone implant come out?

Only your rhinoplasty surgeon knows the specific details of your procedure and should be the person commenting on post-operative questions such as this

Sam Naficy, MD
Seattle Facial Plastic Surgeon

seattleface.com

Silicone Nasal Implants

All foreign bodies placed in the nose eventually extrude. Whether that takes 4 months or 4 years. They all come out eventually. I would recommend considering a second opinion. You would benefit from complete removal of the infected implant without immediate replacement. Then allow a period of several months of healing to ensure no residual infection exists. At that time, the most favorable option to build up your dorsum in any significant way would be a... more

Shepherd G. Pryor, MD
Scottsdale Facial Plastic Surgeon

www.valleyfacialplasticsurgery.com

Should I Take out my Silicone Nose Job?

Even though your picture is dark, but I can see the tip of the implant has thinned out your nasal skin and eventually will cause skin necrosis. You should have it taken out, wait 6-12 months before considering anther revision. The implant shoud be in deep pocket under tip dome.

Mohsen Tavoussi, MD, DO
Huntington Beach Facial Plastic Surgeon

Silicone Implant

Hi, I use custom carved silicone implants in many of my rhinoplasties. The problem with your implant is that it was not custom carved and it was not placed in the right pocket. However, that said, your implant DEFINATELY has to come out soon... I would not wait - have it removed as soon as possible. If its not removed it can cause necrosis of the tip of your nasal skin and be a disaster. Once removed, you should be on antibitotics for 4 to 6 weeks, since there is probably an underlying... more

Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon

Silicone Nasal Implants

From your description, it sounds as if there may be concern for infection with your implant. Once a silicone implant gets contaminated, it often requires removal to fully treat the infection. Also, extrusion, migration or visibility (three things you have mentioned) are common issues with these implants. Using your own tissue, such as rib cartilage, can be an alternative that can remedy your situation, but the infection needs to be resolved before proceeding with any further intervention... more

Vincent P. Marin, MD
San Diego Plastic Surgeon

Should I Take out my Silicone Nose Job?

Dear ekr: It sounds from your description that your surgeon may be concerned with an infection. It sounds like if he kept you in the hospital for 3 days, it was probably for you to receive antibiotics. Is this correct? If there is an infection, and you did receive antibiotics and you still have an infection the implant should be removed. You should allow your body to heal and wait at least 6 months if you want another implant. At that point I would consider a rib cartilage implant... more