Rhinoplasty: Q&A

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Slanted Nasal Implant After Rhinoplasty, What's Causing It? What Can I Do?

Hi, I had rhinoplasty done a month ago and now that the swelling has gradually subsided, I see that the silicon implant is gradually slanting to the right. When I touch the implant with my thumb and fingers lightly, I can feel it jutting to the right. What should I do? Wait for till further swelling has subsided and maybe the implant will straighten out? The surgeon did open method, used an 'I' shape implant, reduced my nostrils and did work on my tip using septal cartilage. I need advice.

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9 Doctor Answers | Asked by Ms Asian

Doctor Answers (9)
Community Comments (0)

Silicone nasal implants

I am not a fan of the silicone nasal implants. There may be swelling or fluid around the implant. I prefer cartilage grafts myself.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Slanted Nasal implant after Rhinoplasty

You either have asymmetrical swelling or a silicone implant that has moved. Although many surgeons use the silicone implants this is a possible complication after their use and the reason I prefer to augment a nose using the patient's own cartilage. Our best advice is to to talk to your surgeon who will examine you and determine the cause of your problem.

Richard W. Fleming, MD

10 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Silicone Nasal Implants

First and foremost ask your surgeon what he thinks has happened. One would assume that everything was lined up accurately at the completion of your surgery. However, regardless of the cause it will be necessary to revise a portion of your procedure to correct the problem you're seeing. Depending upon how easy it is to correct you could touch it up relatively early, especially if it is very obvious and causing significant concern. Otherwise the longer you wait for swelling to abate and... more

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Silastic nasal implants versus autologous cartilage grafts.

Sorry things may not have turned out as you hoped. Unfortunately, at this point in time, the implant will not return back to the midline. It the result is unacceptable to you, a revision surgery will most likely be necessary and it would be best to wait approximately 9-12 months before proceeding with that surgery. Silastic or any other type of synthetic nasal implants carry significant rsks that need to be considered before surgery: Chronic... more

Nasal implant has shifted

Smooth silicone nasal implants can shift, and your doctor will be able to tell after a month if the implant has remained in the correct position, or there is swelling to blame. Best of luck, peterejohnsonmd.com

Rhinoplasty revision

Once a silicone implant shifts out of position you can only get it back in position by doing more surgery. A silicone implant can shift any time after surgery-days, months or years. The risk of shifting can be decreased by using an implant that has some holes in it for tissue ingrowth or switching to cartilage or an implant that gets incorporated like medpor. Once a silicone implant shifts out of position the risk of extrusion also increases. The main question is when to do the... more

Shifting implant

The best advice will come from your own surgeon who is best qualified to know what was done and if this is shifting or swelling. If it is shifting then you have to have it replaced.

Michael L. Schwartz, MD

3 reviews

Fort Lauderdale Facial Plastic Surgeon

www.palmbeachface.com

Wait 6 months and see your surgeon

Unfortunately this can happen. It is recommended that you wait at least 6 months and then follow up with your surgeon. It is possible that it may need to be replaced and repositioned. Good luck! see video

Babak Azizzadeh, MD

4 reviews

Beverly Hills Facial Plastic Surgeon

www.facialplastics.info

L - Shaped Silicone Implants

Hi, L - shaped silicone implants are notorious for shifting and moving around. Honestly, there is nothing you can do about it aside from changing the implant. See link below. Best, Dr.S.

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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.