Silicone implant in nose shifting?
Doctor Answers 1
Asymmetrical result after a rhinoplasty with a silicone implant.
DD710 Based on your description, it sounds as if your silicone implant was not placed intimately over the nasal bone (subperiosteal) since it is mobile and able to be shifted from side to side. Additionally, since the nose is starting to look crooked and the implant no longer lies in the midline, It sounds as if your silicone implant is becoming encapsulated-another words the collagen capsule that is formed by your body in response to this silicone prosthesis, is shrinking to a point where it is smaller than the actual implant itself. Consequently the implant gets shifted in random directions, which is exacerbated by the fact that the implant was mobile in the first placeby being placed above the periosteum of the bone. A revision rhinoplasty, perhaps utilizing your own tissue would be in order.
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