Furkan Erol Karabekmez, MD

Dear Markijo,

Based on the photo you provided, it appears that you have a small bump on your nasal septum. If you consult a plastic surgeon, the typical approach would be to excise the lesion and close the mucosal defect with absorbable sutures. This procedure is usually performed under local anesthesia and is generally straightforward.

If you’ve noticed that the bump has been growing recently, it’s advisable to send the excised tissue for histopathological examination. However, if it has remained unchanged for years, histopathological analysis is usually not necessary.

Best regards,
Dr. Furkan Karabekmez

Thank you for your question. To make a proper assessment, it would be much more helpful to have profile (side-view) photos, as they allow us to evaluate the nasal bridge, tip projection, and overall facial harmony more accurately. That way, we can better determine whether you would benefit from rhinoplasty and, if so, what kind of changes might be appropriate.

Based on the front view alone, your nose appears quite balanced, and you may not need any major intervention. However, if you’re looking for subtle refinement, a tip plasty could be considered to slightly reduce or define the nasal tip, depending on your goals.

It’s also very important to know whether you have any breathing difficulties, a history of trauma, previous surgeries, or allergies, as these factors significantly influence surgical planning and recommendations.

Best regards,
Prof. Dr. Furkan Karabekmez

Thank you for your question. It would be easier to provide a more accurate opinion if you could share a photo. However, based on your description, if there’s no swelling, warmth, fluctuation, discharge from the incision, or significant pain, then it's unlikely that you have an active implant infection. What you’re experiencing may be a skin-related issue, such as folliculitis, especially since the implant site itself seems calm.

As for your second question: yes, chin implant removal and sliding genioplasty can generally be performed in the same surgical session. However, it's very important that there is no sign of infection at the time of surgery. If there’s any suspicion of infection, your surgeon may recommend staging the procedures, with implant removal done first, followed by genioplasty once the area has healed completely.

Also keep in mind that when the implant is removed, you may lose some of the volume or projection it provided. Sliding genioplasty can help restore this, but the final aesthetic may be slightly different from the augmented shape the implant gave.

Best regards,
Prof. Dr. Furkan Karabekmez

Hi,

If you experience redness, tenderness when touched, swelling, or any discharge, these could be signs of an infection. If these symptoms are widespread around the implant area and feel deep, it is crucial to consult your plastic surgeon immediately. However, similar small and superficial symptoms may indicate a simple, unrelated skin issue. To ensure an accurate diagnosis, it’s best to consult a doctor in person for a proper examination.

Best regards,

Hi,

A two-month postoperative follow-up is still quite early to assess the final appearance of the scar and any pigment changes. It's best to wait at least a year to observe the final shape and color.

Best regards,