What is the right implant for thick, heavy skin revision? 3rd Rhinoplasty with removal of old implant; worried about rib.

May 31, 2014
Asked By:irsi in Los Angeles, CA

I've suffered complications with a shifted medpor implant that will have to come out. I have very thick skin so I'm going to need another implant to support my nose structure, which is (still) mostly a bulbous one with little bone structure and heavy ethnic skin.I'm frightened not only because of the implant removal but because I'll need a NEW implant or graft. I'd like to hear from other patients that had tip implants removed and have similar skin type what they chose--goretex, Silastic, etc.One doctor I liked suggested rib. There are so many risks for rib, but I have a complicated rhinoplasty on my hands--more complicated than #2. I don't know what to do and I don't want to make this oily, bulbous, perpetually swollen, mildly infected tip worse.I'm worried about anything that will make my oily, thick skinned nose bulkier than it already is.. I want to get this revision and move on with my life in the next six months. Are my fears unfounded? I have yet to meet a doctor that can convince me he can find an implant (synthetic or otherwise) that will support my nose without looking "fake", shiny, or massively bulky, and unfortunately, a lot of my natural cartilage is gone.

Answers (3)

From board-certified doctors and trusted medical professionals
VOTED MOST HELPFUL
June 3, 2014

Answer: Need photos to give specific advice.

1 person found this helpful
VOTED MOST HELPFUL
June 3, 2014

Answer: Need photos to give specific advice.

1 person found this helpful
MOST RECENT
June 3, 2014

Answer: Rhinoplasty and grafts

MOST RECENT
June 3, 2014

Answer: Rhinoplasty and grafts

December 19, 2018

Answer: #Revision #rhinoplasty and rib grafts

1 person found this helpful
December 19, 2018

Answer: #Revision #rhinoplasty and rib grafts

1 person found this helpful
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