Material Used for Revision Rhinoplasty. What to Expect if Switching From Large to Smaller Implant?

Recently, it is a popular method among Korean surgeons that use I-shape silicon to augment bridge and irradiated rib catilage to construct collumbellar strut and ear catilage as the nose tip placed on the irradiated rib strut. However I ve some concern over the use of I shape silicon. If the patient change an Oversized silicon to a smaller one. Will it shift down due to gravity? Appreciate u can share your views on this surgical method. Thanks

Doctor Answers 4

Revision Rhinoplasty


While the use of silicon shaped nasal implants fit best certain patients, others benefit the most from autologous cartilage graft.

Without physical examination it is hard to provide you with a solid opinion about a given surgical method that may not be suitable for a given case.

I recommend that you consult with board certified surgeons of extensive experience to be able to make a well informed decision.

Thank you for your inquiry.

The best of luck you.

Dr. Sajjadian

Orange County Plastic Surgeon
5.0 out of 5 stars 197 reviews

Material Used for Revision Rhinoplasty. What to Expect if Switching From Large to Smaller Implant?

 The I shaped silicone dorsal implant is my preferred method of building up the nasal bridge.  If you go to a smaller silicone dorsal implant, the skin, of the nose, will accommodate the smaller implant.  I would be far more concerned about the use of irradiated cartilage grafts as these have been shown to dissolve unevenly over time creating nasal deformities.  Hope this helps.  

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 26 reviews

Switching to a smaller implant

An L shaped implant that is too large not only looks poor but has a much higher risk of extrusion with time. This can be replaced by a smaller implant or can be removed and the nose reshaped with the patients own cartilage.

Thomas Buonassisi, MD
Vancouver Facial Plastic Surgeon
4.9 out of 5 stars 108 reviews

Material Used for Nasal Augmentation in Revision Rhinoplasty

For 35 years I have used the patient's own cartilage rather than silicone or irradiated rib cartilage.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 39 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.