Nasal Implant Removal After Asian Rhinoplasty?

Removing Nasal Implants are probably medically indicated especially in light of your history and that the "pimple" you may describe may indicate an infected implant area and or impending pressure necrosis of the skin.  The prior operative note would be very important for your surgeon to review prior to this procedure.

Hello,

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.

Good luck,

Dr. Shah

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.