Almost 5 months ago I had Asian rhinoplasty done with L silicon implant and ear cartilage at the tip. There has been lots of pressure at the tip ever since the operation. Aside from the pressure, the nose tip points dramatically to the right since the day of the operation. The bridge is straight. I'm sure I will seek another, more experienced surgeon for revision, but when should I do revision? I've read that it is recommended to wait 6 months, but I'm worried about the pressure on the tip.
September 26, 2014
Answer: L-Strut Silicone Implant for Asian Rhinoplasty This is one of those times where I think getting seen sooner rather than later is a good idea. If that implant has pressure on the skin of the tip of the nose, it may cause some serious problems. I recommend getting in to your surgeon for a visit now.
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September 26, 2014
Answer: L-Strut Silicone Implant for Asian Rhinoplasty This is one of those times where I think getting seen sooner rather than later is a good idea. If that implant has pressure on the skin of the tip of the nose, it may cause some serious problems. I recommend getting in to your surgeon for a visit now.
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October 31, 2014
Answer: When to remove a nasal implant Silicone implants are extremely common is Asia and generally do not cause problems in the Asian population or other people with thick soft tissue. However, there are several issues associated with their use and because I perform so many revision rhinoplasties I frequently see patients that have complications arising from them. Constant pressure from a foreign material on the skin can result in extrusion of the implant (yes, it comes right out through the skin; usually at the tip). Sometimes these implants can be seen through the skin (particularly in darker lighting) because they are translucent. Because they are synthetic there is no true integration with the tissue and hence they tend to be mobile. Because they have no blood vessels coursing through them there is a chance for infection to develop at any time. For all of the above reasons I do not use foreign materials of any kind if at all possible but instead I use their own tissues. While the operation is more complicated the results look more natural and are much safer. I usually employ cartilage harvested from the chest wall but sometimes I use septum, ear and temporalis fascia. I have even used bone when needed.As for the specifics of your case I would advise having consultations now and seeing what the surgeons say. My own feeling is that there is no reason to wait in such cases; as your problems will not improve over time and might actually become worse.
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October 31, 2014
Answer: When to remove a nasal implant Silicone implants are extremely common is Asia and generally do not cause problems in the Asian population or other people with thick soft tissue. However, there are several issues associated with their use and because I perform so many revision rhinoplasties I frequently see patients that have complications arising from them. Constant pressure from a foreign material on the skin can result in extrusion of the implant (yes, it comes right out through the skin; usually at the tip). Sometimes these implants can be seen through the skin (particularly in darker lighting) because they are translucent. Because they are synthetic there is no true integration with the tissue and hence they tend to be mobile. Because they have no blood vessels coursing through them there is a chance for infection to develop at any time. For all of the above reasons I do not use foreign materials of any kind if at all possible but instead I use their own tissues. While the operation is more complicated the results look more natural and are much safer. I usually employ cartilage harvested from the chest wall but sometimes I use septum, ear and temporalis fascia. I have even used bone when needed.As for the specifics of your case I would advise having consultations now and seeing what the surgeons say. My own feeling is that there is no reason to wait in such cases; as your problems will not improve over time and might actually become worse.
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