Rhinoplasty implant misplaced too far to the right side. Would this be an easy fix? (Photo)

Question

I got my primary rhinoplasty 2 months ago, after most swelling gone down it's obvious to me that the implant was misplaced too far to one side as I didn't have any accident since my surgery. Would this be an easy fix that I can go back to my surgeon for? Is there any risks I should be aware of before doing my revision with him? How did this happen? what questions should I have for him before flying across the country. Is it better to have the revision within 6 months like he said. Thank you

Eric M. Joseph, MD · Answer

Generally, it is not wise to re-operate on somebody's nose any sooner than six months postoperative. Sometimes it's wise to wait a full year, depending on the amount of swelling that remains in the nose. The best advice I can give you with this singular photo is to take a deep breath, and considering asking you a question with more information. Specifically it would be important to know what type of implant you have on your nasal bridge. If it is a silicone implant and if it is mobile, it may need to be removed and replaced, and that is usually not a major endeavor. If your implant is immobile, depending on how it looks when more swelling resolves, sometimes a nonsurgical nose job treatment can be considered for permanently providing a straighter nasal bridge appearance without further surgery. I hope this helps and I wish you well moving forward. Sincerely, Dr. Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your description, it sounds like you have a silicone dorsal onlay implant. This is a very dangerous type of implant that has a very high complication rate. You are experiencing malposition and likely mobility of the implant. The implant should be removed and replaced with diced cartilage wrapped in fascia as a dorsal onlay. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Rhinoplasty implant misplaced too far to the right side. Would this be an easy fix? (Photo)

Answers (2)

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