Should I remove my nose implant? (Photo)

I got a septo/rhinoplasty done in 2010. I am unhappy with the results because of the "dent" in my nose. My doctor told me that I should wait until my implant is more obvious and then he will do something about it, take my implant out or replace it with a L silicone. I am leaning towards taking my 4 MM goretex implant out but am worried my nose would look strange. Should I seek a second opinion?

Doctor Answers 7

Rhinoplasty with implant

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Thank you for your question and photos. I see the outline of the implant which I agree with you that it does not look great. If you remove it and do nothing else, you may have this boggy skin on your nose. The skin may shrink down to its original shape but it may not. Often you need to replace it with another graft, ideally bone or cartilage from you. Get another opinion, Good luck

Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 18 reviews

Synthetic vs Autologous

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Synthetic implants never become fully incorporated into your nose, and sometimes this can lead to issues with migration like you are describing.  The safest and most permanent results are possible using tissue from your own body, or autologous grafts.  The risk of infection, migration and extrusion is far greater with any type of synthetic graft than it is with your own tissue.  

There is certainly chance for improvement with a revision with a carefully selected surgeon with experience in revision rhinoplasty.  

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 64 reviews

Nasal implant

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It is reasonable to have the implant removed since it is becoming more noticeable.  Once it is removed, you will likely require additional structural changes to provide adequate support.  Commonly, cartilage from your own body can be used to provide this structure. I recommend you obtain a second opinion in order to understand your options.  

Adam Bryce Weinfeld, MD
Austin Plastic Surgeon
4.9 out of 5 stars 63 reviews

Nasal implants

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This a difficult question  - I dislike silicone implants and really only use your own cartilage or bone. Get more than one opinion before doing anything. 

William B. Rosenblatt, MD
New York Plastic Surgeon
4.2 out of 5 stars 12 reviews

Nasal implant

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You can have it exchanged with something else.  It can be cartilage or silicone. If you do not want surgery, perhaps filler would be a good idea to camouflage it.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Should I remove my nose implant?

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Since you are several years out from your surgery, the results are pretty much set at this point.  The silicone will never be incorporated.  In order to maintain volume to that area after removal of the implant I recommend cartilage, and possibly a fascia graft.  Wish you all the best.

Garrett A. Wirth, MD, MS, FACS

Wirth Plastic Surgery

A third and fourth rhinoplasty option

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Thank you for the question and photos.  You do have a third and fourth option.  The third option is to use filler to camouflage the current implant.  The fourth option is to remove the implant and use rib cartilage to shape the nose.  I would discuss all of these options with your plastic surgeon and decide on which one is the best for you.

Good luck with your decision process.

All the best,

Dr. Remus Repta

Remus Repta, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 173 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.