Hello Doctors, I currently have an infected nasal 3mm silicone implant. According to my PS, the implant may be replaced with rib cartilage within the same operation only if there appears to be a low-grade infection. Is this possible? In addition, I had ear cartilage added to my tip. Is it mandatory for the cartilage to be removed or can it stay? Lastly, what is the recovery time from an implant removal? I really wish to keep my look the same. Many thanks for your expertise in advance.
Answer: Infected Silicone Nasal Implant I would not replace cartilage at the same time as removal of the implant. If your tip graft is inplace and well vascularized, I would leave it alone. Recovery time means different things. Initial reduction of swelling will take 1-2 weeks. Final results with take 9-12 months. I would not place a secondary cartilage graft for atleast 6 months
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CONTACT NOW Answer: Infected Silicone Nasal Implant I would not replace cartilage at the same time as removal of the implant. If your tip graft is inplace and well vascularized, I would leave it alone. Recovery time means different things. Initial reduction of swelling will take 1-2 weeks. Final results with take 9-12 months. I would not place a secondary cartilage graft for atleast 6 months
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CONTACT NOW February 27, 2015
Answer: Removal of infected silicone implant and replacement with what and when? In my experience of more than 35 years of revision rhinoplasty I have never used rib cartilage for reconstruction as I can get enough cartilage from the ears etc. to rebuild the nose. I would never place any cartilage whether rib or ear in a nose that is currently infected. Have the silicone implant removed and wait at least 6 month before having anything done.otherwise you were taking too much risk of having the cartilage become infected.
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CONTACT NOW February 27, 2015
Answer: Removal of infected silicone implant and replacement with what and when? In my experience of more than 35 years of revision rhinoplasty I have never used rib cartilage for reconstruction as I can get enough cartilage from the ears etc. to rebuild the nose. I would never place any cartilage whether rib or ear in a nose that is currently infected. Have the silicone implant removed and wait at least 6 month before having anything done.otherwise you were taking too much risk of having the cartilage become infected.
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February 27, 2015
Answer: Reconstructing nose after nasal silicone implant removal? Dear SarahIn general, placing a rib graft in an infected surgical field is an invitation for more complications. Keep in mind that harvest of the rib is an additional procedure and if you loose the graft, you have undergone all that surgery with no gain. Nasal tip cartilage grafts (ear cartilage) do not usually need to be removed at the time of your surgery.In my experience, I would remove your silicone implant. Then schedule your rib graft 3 or more months after that. It is true that you can sometimes "get away" with a single stage procedure but most surgeons prefer not to take chances with their patients. You can have the same look safely a few months later. The swelling from the infection and the capsule from the implant will likely hold your dorsum in a well augmented position for a while!Follow closely with your surgeon and take the time to ask all your questions and understand all the relevant issues.
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CONTACT NOW February 27, 2015
Answer: Reconstructing nose after nasal silicone implant removal? Dear SarahIn general, placing a rib graft in an infected surgical field is an invitation for more complications. Keep in mind that harvest of the rib is an additional procedure and if you loose the graft, you have undergone all that surgery with no gain. Nasal tip cartilage grafts (ear cartilage) do not usually need to be removed at the time of your surgery.In my experience, I would remove your silicone implant. Then schedule your rib graft 3 or more months after that. It is true that you can sometimes "get away" with a single stage procedure but most surgeons prefer not to take chances with their patients. You can have the same look safely a few months later. The swelling from the infection and the capsule from the implant will likely hold your dorsum in a well augmented position for a while!Follow closely with your surgeon and take the time to ask all your questions and understand all the relevant issues.
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February 26, 2015
Answer: Rib cartilage in rhinoplasty It is very common to remove infected implants and replace the volume with rib cartilage. Using autologous tissue such as this will reduce the likelihood that it would also become infected. The cartilage that was placed in the initial surgery may be removed, cleaned and replaced as necessary - although a rib harvest should supply more than enough new cartilage. I recommend seeking out a Board-Certified Plastic Surgeon who will accurately examine your nose and formulate a plan tailored to your needs and wishes. Good luck!
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CONTACT NOW February 26, 2015
Answer: Rib cartilage in rhinoplasty It is very common to remove infected implants and replace the volume with rib cartilage. Using autologous tissue such as this will reduce the likelihood that it would also become infected. The cartilage that was placed in the initial surgery may be removed, cleaned and replaced as necessary - although a rib harvest should supply more than enough new cartilage. I recommend seeking out a Board-Certified Plastic Surgeon who will accurately examine your nose and formulate a plan tailored to your needs and wishes. Good luck!
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March 6, 2015
Answer: Nasal dorsal reconstruction You are receiving good advice from other surgeons on this page. In the face of a cultured infection remove the silicone. It will be your surgeon's decision perhaps with the consultation of an infectious disease specialist as to how long before re-operation. Diced cartilage in temporal is fascia would be the preferred method for many experienced rhinoplasty surgeons for reconstruction due to its relatively low complication rate. If the old tip cartilage graft appears involved in the infectious process remove it or it will protract the healing process. This is a good opportunity to get a nose that will be 100% you
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March 6, 2015
Answer: Nasal dorsal reconstruction You are receiving good advice from other surgeons on this page. In the face of a cultured infection remove the silicone. It will be your surgeon's decision perhaps with the consultation of an infectious disease specialist as to how long before re-operation. Diced cartilage in temporal is fascia would be the preferred method for many experienced rhinoplasty surgeons for reconstruction due to its relatively low complication rate. If the old tip cartilage graft appears involved in the infectious process remove it or it will protract the healing process. This is a good opportunity to get a nose that will be 100% you
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