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.
Answer: Appropriate timing for revision Asian rhinoplasty Signs of impending implant extrusion include increasing redness and tenderness. Extrusion is a gradual process, as the skin is slowly thinned by the implant to the point of ulcerating. In this case, when the skin is being thinned by a synthetic implant, the risks of waiting too long may be greater than operating sooner than the "recommended" time. Using tissue from your own body (autologous grafts) will greatly reduce the risk of this possible complication.
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Answer: Appropriate timing for revision Asian rhinoplasty Signs of impending implant extrusion include increasing redness and tenderness. Extrusion is a gradual process, as the skin is slowly thinned by the implant to the point of ulcerating. In this case, when the skin is being thinned by a synthetic implant, the risks of waiting too long may be greater than operating sooner than the "recommended" time. Using tissue from your own body (autologous grafts) will greatly reduce the risk of this possible complication.
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September 22, 2014
Answer: How long to wait for revision surgery While it is early it sounds like the nasal tip is deviating to the right. After 5 months there might be a slight amount of numbness and sensitivity of the nose but I rarely get pressure as a complaint. I would have it evaluated by a revision rhinoplasty surgeon who specializes in Asian rhinoplasty. There are a few surgeons in the LA area. Even if he or she doesn't operate just yet you can have the evaluation and get the correction process started.
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September 22, 2014
Answer: How long to wait for revision surgery While it is early it sounds like the nasal tip is deviating to the right. After 5 months there might be a slight amount of numbness and sensitivity of the nose but I rarely get pressure as a complaint. I would have it evaluated by a revision rhinoplasty surgeon who specializes in Asian rhinoplasty. There are a few surgeons in the LA area. Even if he or she doesn't operate just yet you can have the evaluation and get the correction process started.
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September 20, 2014
Answer: Nasal tip pressure after silicone implant. Nasal tip pressure after silicone implant. I would revise it now since continued pressure will thin the skin and can go thru the skin. See an experienced revision rhinoplasty surgeon.
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September 20, 2014
Answer: Nasal tip pressure after silicone implant. Nasal tip pressure after silicone implant. I would revise it now since continued pressure will thin the skin and can go thru the skin. See an experienced revision rhinoplasty surgeon.
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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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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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