Can I remove my silicone and replace something better? I had it 10 years and it's not properly aligned. What can I do? (Photo)

Hello, I am sorry you have silicone in your nose and that now you are having problems with the silicone on your nose. Also, I am sorry that your silicone nose is not straight. From your single nose picture, it appears that you have a silicone nasal implant that has fallen to the side. I would suggest surgical revision. You have several options. 1) Keep the same implant and re-center the silicone nasal implant. This is difficult, but can be done. 2) Change the silicone nasal implant to a slightly larger one to fill the nasal pocket. This is what i would suggest. 3) Get rid of ALL silicone in your nose and remove the silicone nasal implant. To reconstruct the nose, I would suggest a rib cartilage graft. The rib graft is permanent and since it is your own tissue, your body will not reject it.
Since removing silicone is a big procedure, please seek an experienced, board certified plastic surgeon with significant experience in removing silicone. Do your research. Make sure they have performed many silicone removal surgeries and have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf.  If you cannot find an experienced, silicone removal surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, Certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and ​member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

The difference between real dermalfillers as hyaluronic acid or calcium hydroxiapatite is that they stay were we inject it and do not move, and of coirse it will absorb within a period of no more than 12 to 16 months dependind on the case and area. Alloplastic material such silicone and PMMA the invade the cells citoplasma and integrate with the closer tissues, also they migarte and causes deformitis with compromise of the micro circulation, a real nightmare. In some cases we can remove part of it, neve all of it, trying to recreate a temporal normality in the lips or someother areas of the face with the risk of severe deformities. It’s so important that prior to do cosmetic facial injections you verify the doctor choosen by you, and search about the brand of the product that this professional is pffering to you. Recently we posted a documentary in our youtube channel Lopeztallaj, Besos de plástico explaining everything involved with those ilegal injections for a real prevention. It has english subtitles.