Nasal Implant Removal After Asian Rhinoplasty?

Underwent Asian Rhinoplasty 5 months ago. During the surgery, the surgeon inserted a silicone implant on the bridge of the nose and used ear cartilage to refine the tip. However, this week noticed that there was a bump on the tip of the nose. Thought it was a bug bite or a pimple, but it felt very different. The surgeon said that the implant is too large and is pushing down on the tip. Thus, a bump has been created. He suggests to either remove the implant altogether or replace it with a smaller implant.  No longer want the implant anymore (it is also a bit crooked), but scared that since it has been 5 months since the surgery, skin will have stretched?? Will this look odd (with sagging skin on the bridge of the nose) what if the implant completely removed (without replacing it with a smaller one)? Main concern is how it will look afterwards, especially after stretching out the skin with an implant and taking it out at this point. Please advise!! Thank you very much!

Doctor Answers 13


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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.

Chicago Facial Plastic Surgeon
4.8 out of 5 stars 181 reviews

Implant removal after Asian rhinoplasty

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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!


Thomas T. Le, MD
Baltimore Facial Plastic Surgeon
4.9 out of 5 stars 62 reviews

Removing nasal implant

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An implant could be removed and switched for a smaller one.  Generally, this would not cause any problems.  The skin should not be stretched out from your larger implant.  The irregularity could be arising from other issues such as infection or improper implant placement.  L-shaped implants are more prone to these type of problems and most experienced asian rhinoplasty surgeons no longer use this type of implant.  Another choice would be to remove the implant entirely, or replace it with a graft from your own body

Shim Ching, MD
Honolulu Plastic Surgeon
4.6 out of 5 stars 51 reviews

Asian Rhinoplasty Surgery

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Hello, Thank you for your inquiry.
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.

Jin-Sung Kim, MD
South Korea Plastic Surgeon

Nasal implant removal

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Thank you for the questions. It seems like your implant may be infected or is pushing too much on the skin (extruding). It can be removed in a relatively straightforward procedure. Then, after the nose has been allowed to heal, a revision surgery can be performed. The bridge of the nose can be built up with cartilage from the septum, ear, or rib.

Asian Rhinoplasty Implant Removal

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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.

You can remove the implant with little sequelae.

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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

Manish H. Shah, MD, FACS
Denver Plastic Surgeon
4.8 out of 5 stars 69 reviews

Migration of implant after Asian rhinoplasty

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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.

Eric In Choe, MD
New York Plastic Surgeon
4.6 out of 5 stars 51 reviews

Nasal implant removal after original rhinoplasty

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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.

Charles S. Lee, MD
Beverly Hills Plastic Surgeon
4.5 out of 5 stars 79 reviews

Recommend waiting at least nine months to a year before making any changes

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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.

Michael R. Macdonald, MD
Bay Area Facial Plastic Surgeon
4.6 out of 5 stars 18 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.