Nasal Implant Removal After Asian Rhinoplasty?
Doctor Answers 13
Generally speaking a nasal implant can be removed. Silicone implants have the least amount of ingrowth from the surrounding tissues and are the easiest implants to remove. Gore-tex and med-por are much more difficult implant to remove due to the tissue in growth. Redness in the nose after an implant can be the sign of an infection. Once the skin of the nose has been violated with an implant, the damage is permanent. Prior to a rhinoplasty procedure, a well planned operative plan with both the patient and surgeon on the same page should be performed. Computer imaging, if done in a reasonable manner, can help facilitate communication and help determine whether or not augmentation to your nasal bridge is aesthetically desirable.
Removing nasal implant
Asian Rhinoplasty Surgery
In my personal opinion, you had better remove the silicone implant first and then replace it with smaller one. Also, when it comes to the skin redness symptom around your surgical site, it would be an infection symptom. After removing the implant, the outer appearance of your nose would be seemed to be different before having a surgery due to inside of the scar tissue. I recommend you that you had better take a deep consideration for only removing slicone implant.
Thank you for reading my comment.
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Asian Rhinoplasty Implant Removal
You can remove the implant with little sequelae.
Yes, if you are having second thoughts about your silicone implant, it is reasonable to go ahead and remove it. With a little assistance the "extra" skin will more than likely settle down and flatten out to the correct contour. While it is probable that the implant is putting pressure on the tip, it is also possible that the cartilage grafts in the tip are malpositioned making them easier to feel. Either way revising your nose is possible. Additionally, if the skin doesn't completely settle down, injectible filler can be used to expand what little extra skin there may be creating a smooth appearance to the dorsum of the nose. Make sure you thoroughly discuss your surgical plan before going back in. Revision rhinoplasty is never easy.
Migration of implant after Asian rhinoplasty
If you newly discovered a "bump" at the tip of your nose 5 months after the surgery, most likely your implant may have migrated to the tip. It sounds like your doctor may have used a dorsal implant. If this is the case, I would recommend not delaying the revision as your condition will not improve with time. If you liked the way your bridge looked before the surgery, simply removing the implant may solve the problem. However, since it has been 5 months and the implant might have affected the architect of the tip, you may require a tip revision in addition to the implant removal. The skin should not be a problem.
Nasal implant removal after original rhinoplasty
The type of implant you had placed along the bridge will determine whether there will be an issue with its removal. If the implant extends to the tip of the nose (a variation of the L implant, or and extended I implant), then it may affect the tip of the nose. If the implant was simply placed on the tip only recently, it may be safe to remove it altogether. However, if significant alteration of the tip cartilage was performed, then the tip may need further work after removal of the implant.
Implant removal after Asian rhinoplasty
You can have your implant removed as soon as you are sure that swelling has subsided enough for an accurate diagnosis of your issues. Usually this can be anywhere between 6-12 months after surgery. Silicone implants in general form a significant capsule around the implant, and it may be advantageous to remove the implant closer to the 6 month mark to avoid mature scar contracture. When having a revision, make sure that you visit a surgeon who has experience in revision rhinoplasty and especially Asian implant-related rhinoplasty. Rhinoplasty is a tremendous passion of mine and I would be happy to provide you a comprehensive evaluation. Good luck!
Recommend waiting at least nine months to a year before making any changes
I’d generally recommend waiting at least nine months to a year before making any changes following nasal surgery. Close communication and follow-up with your surgeon along the way is important.
In the case of Medpor implants, they are notoriously difficult to remove much later down the road because of extensive tissue in-growth which, incidentally, is helpful in fixing the implants in position.
Nasal implant removal
The implant can be removed but the second operation better get things right. There is a "law" of diminishing returns with any operation. You might end up with a scarred up and irreparable nose if you submit to too many operations. I would interview several surgeons who do a lot of secondary rhinoplasties and choose the one you trust the most to get a good result with only one more operation.
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.