Slanted Nasal Implant After Rhinoplasty, What's Causing It? What Can I Do?

Once a silicone implant shifts out of position you can only get it back in position by doing more surgery. A silicone implant can shift any time after surgery-days, months or years.  The risk of shifting can be decreased by using an implant that has some holes in it for tissue ingrowth or switching to cartilage or an implant that gets incorporated like medpor. Once a silicone implant shifts out of position the risk of extrusion also increases. The main question is when to do the revision surgery and that cannot be decided based solely on the limited information in your post.

I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Unfortunately this can happen. It is recommended that you wait at least 6 months and then follow up with your surgeon. It is possible that it may need to be replaced and repositioned. Good luck!

Hello,

Thank you for the question.  You may be feeling swelling and or the implant moving.  If the implant is moving the pocket may have been created a little too big.  Your body will want to close down any extra space so the implant pocket should stabilize if the implant is kept secure.  Your plastic surgeon may be able to guide you with regards too taping to help accomplish this.

All the best,

Dr. Remus Repta

I am not a fan of the silicone nasal implants. There may be swelling or fluid around the implant.  I prefer cartilage grafts myself.

First and foremost ask your surgeon what he thinks has happened. One would assume that everything was lined up accurately at the completion of your surgery. However, regardless of the cause it will be necessary to revise a portion of your procedure to correct the problem you're seeing. Depending upon how easy it is to correct you could touch it up relatively early, especially if it is very obvious and causing significant concern. Otherwise the longer you wait for swelling to abate and for healing to progress the easier it will typically be to correct the problem you're having. Work with your surgeon to obtain a satisfactory resolution and obtain an outside opinion if you would feel better having another independent assessment. Best of Luck  Dr Harrell