Unhappy with Rhinoplasty. Should I Remove my Implant? (photo)

I had my first closed rhinoplasty done on March 2nd 2012. I did it because I didn't like my bulbous tip. I wasn't happy with the results. 2 weeks after the surgery the doctor suggested a revision because he admitted that the L shaped implant he used was too long, it was pushing my tip. On March 19th he put a shorter implant & I'm very upset with how my profile looks. The front view is ok but my profile is big, projected & masculine. I prefer my old feminine nose :'( Should I remove the implant?

Doctor Answers 8

Implant removal in the Nose

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You are still a bit close to your surgery to tell what the final result will be.I would recommend that you allow the swelling to resolve for a few months then make a final decision.

Remove Implant?

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Overall at weeks to a number of months post op the nose will look swollen and less than ideal.  It is the tincture of time and the natural healing that must occur before you can accept the nose as healed and having "final result".  The surgeon I am guessing discussed the time course and the healing process you are to expect.  Being discontent at two weeks and making decisions on re-operation is far too hasty.  Unless there is a severe deformity immediately post operatively I would let the nose settle out.  If it is unbearable in your mind it would be a purely peronal decision to remove it.  With time and patience the result may be acceptable for you in the end.  Patience and good discussion with your surgeon is key to make the proper choice.

Michael A. Carron, MD
Detroit Facial Plastic Surgeon
4.9 out of 5 stars 42 reviews

Revision rhinoplasty

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Don't subject yourself to repeated surgery before you have enough time to recover from prior surgery. It is a recipe for bad scars and complications. Wait for at least 6 months before considering revision.

Mohsen Tavoussi, MD, DO
Orange County Facial Plastic Surgeon

Iplant appears too big

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Give it time for the swelling to go down and the implant to settle. Without question in 2 months it will be smaller and perhaps to your liking.

Richard Ellenbogen, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 30 reviews

Asian Rhinoplasty

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Sorry to hear about your experience.  Your implant has given you a polly beak deformity and unfortunately I see this more often than I'd like.  This is one of the reasons why I don't like using implants in the nose.  Please confer with a board certified specialist who can better assist you in achieving the results you desire.  Unfortunately, your polly beak will not go away on its own, as long as the implant is still there.

Kimberly Lee, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

Nose after implant

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Alot of the issue may be swelling, but at this point I would give it some time to heal a bit more.  If unhappy it can be remvoed.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Revision Rhinoplasty

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Of course, an in-person exam is needed to give you the best advice.  However, the entire nose still appears swollen and no recommendations can be give now.  You should wait several months to let the swelling from back to back surgeries go down.  Only at that time can you really make a decision.  Having a third surgeries in such quick succession can lead to a poor outcome. 


Good luck

David Alessi, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 18 reviews

Revision Rhinoplasty for implant removal in Asian nose

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I did like your old profile better than your new profile and I do agree that the bridge is too high and its created a polly beak deformity but I also think you have had 2 rhinoplasties back to back which is not advisable so only you and your doctor can decide whether a 3rd one to remove the implant is a good idea or not.  Implants do cause scar tissue around them as a capsule that can build up the area over time but also by pressing down on your bone, they can make your own bones even smaller so taking them out will be a change but your nose will most likely not go back to exactly the way it was before either.  

Shervin Naderi, MD, FACS
Washington DC Facial Plastic Surgeon
4.9 out of 5 stars 119 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.