Silicone implant For Asian Rhinoplasty. My tip is uncomfortable & red. What is the cause?

I had the Asian Rhinoplasty 20 years ago. I have a L shape silicone implant on my nose bridge. Recently I felt very uncomfortable and it is getting red on tip of nose. I sometimes feel something will push out and headache. I had the CT scan and it shows I have increased density along the nasal bridge. I am wondering is it caused by the silicone implant? Thank you very much and appreciate your answers.

Doctor Answers 9

Photos for better advices

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Thanks for the question. I recommend you to send your photos to us to give you the advices you need and want. 

Kind regards 

Dominican Republic Plastic Surgeon
4.7 out of 5 stars 367 reviews

Asian Rhinoplasty with L-Shaped Silicone Implant - Not my favorite

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I find that these L-shaped implants look great to start and then over time either lean one direction or the other and tend to be the ones that erode through the tip skin.  I would get it out, do a reconstruction with rib cartilage and temporalis fascia, and hope that the discoloration improves.  

Jay Calvert, MD, FACS
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 52 reviews

Discoloration due to inserted implant

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Thank you for asking. I think the major concern you have is the discoloration of the nasal tip. If you have a long and thick implant without adequate soft tissue covering, by time, the implant can cause thinning of the overlying skin. It seems to me that the silicone implant you have might cause thinning of the tip and if it gets worse, it can make a small hole. There needs to be more evaluation but a CT scan is not a good option. The CT scan showing increased radio-opacity probably is a result of calcification of the silicone implant which is common in implants that have been inserted a long time ago. The calcification has little chance to be related to the redness or your headache. 

Hyun-Taek Lee, MD
South Korea Plastic Surgeon

Silicone nasal implants

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While commonly used, silicone implants can frequently become a problem. Few experienced rhinoplasty surgeons will use them.  The nasal tissues are thin and the likelihood of implant mobility and extrusion are high.  The proper way to correct this problem is to remove the implant before it gets exposed and replace it with diced cartilage wrapped in fascia

R. Laurence Berkowitz, MD
San Jose Plastic Surgeon
4.7 out of 5 stars 13 reviews

Tip Uncomfortable and Red after Placement of Silicone Implant

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Pictures would be helpful but your description suggests that the silicone implant is moving, putting pressure on the tip skin with possible extrusion of the silicone. I suggest you consult with a rhinoplasty surgeon as soon as reasonably possible to avoid skin breakdown with resulting scarring. This is a well known possible complication with L-shaped silicone implants.  

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Silicone nasal implant

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Thank you for the description and you really need to be seen by a specialist to be certain that you are not developing an infection or exposure of the implant which occurs all too commonly

Dr. Corbin

Frederic H. Corbin, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 65 reviews

Tip red after silicone implant

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The density that shows up on your CT scan most likely is your silicone implant, but also may represent inflammation around the implant.  The redness and pressure on the tip of your nose may be an early sign of infection or possible extrusion of the implant, and should be evaluated by your surgeon as soon as possible for treatment. Best of luck. 

Julie Edween, DO
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 33 reviews

Asian Rhinoplasty with silicone implant: uncomfortable and red tip

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Asian rhinoplasty may include raising the bridge (augmentation) with cartilage or other materials. Silicone implants are very popular. They create height, definition, and they are quick to put in place. The only issue is the lifetime risk of infection and extrusion. 

Redness, swelling, pain, and drainage are signs of infection and potential extrusion. I would recommend seeing a rhinoplasty surgeon as soon as possible to evaluate and treat the infection before the implant breaks through the skin. Once the infection has settled, you can have the implant removed as it will likely get infected again. 

Victor Chung, MD
San Diego Facial Plastic Surgeon
5.0 out of 5 stars 10 reviews

Silicone implant and redness of the nasal tip

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The increased density on the CT scan could be the appearance of the silicone implant. The redness and pressure at the tip of the nose is worrisome. I would recommend an evaluation with a nose surgery expert as the implant can get infected and push out of the nose even 20 years after the surgery. 

Kristina Tansavatdi, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 44 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.