Nasal silicone implants are often used to augment the nasal bridge, especially in Asian rhinoplasty. However, they are not without risks and complications. Some of the common problems associated with nasal silicone implants are infection, extrusion, displacement, capsular contracture, and nasal shortening. These can result in an unsatisfactory appearance and functional impairment of the nose.

If you have any of these issues with your nasal silicone implant, you may need to undergo a removal and revision rhinoplasty procedure.

This is before & after of Nasal silicone implant removal revision rhinoplasty (by Dr. Hwang Jee-Hoon)

This is a complex surgery that requires a skilled and experienced surgeon who specializes in revision rhinoplasty. The goal of this surgery is to remove the implant safely, correct any deformities or damage caused by the implant, and restore a natural and harmonious shape and function to your nose.

The removal of the nasal silicone implant can be done through an open or closed approach, depending on the size and position of the implant and the extent of correction needed. The surgeon will carefully dissect the implant from the surrounding tissues and remove it along with any infected or scarred tissue. The surgeon will then assess the condition of your nasal structures and decide on the best method of reconstruction.

The reconstruction of your nose after nasal silicone implant removal may involve using autologous materials, such as your own cartilage or fascia, or allogeneic materials, such as donated rib cartilage or dermis. The choice of material depends on several factors, such as the availability of your own tissue, the degree of augmentation needed, and your personal preference. The surgeon will use these materials to rebuild your nasal bridge, tip, and septum, as well as to support your nasal framework and prevent collapse.

The recovery from nasal silicone implant removal and revision rhinoplasty may take longer than a primary rhinoplasty, as there may be more swelling and bruising. You will need to wear a splint for about a week and avoid any trauma or pressure to your nose for several weeks.

Nasal silicone implant removal and revision rhinoplasty can be a challenging but rewarding procedure for patients who are unhappy with their previous nose surgery. It can improve both the aesthetic and functional aspects of your nose and enhance your overall facial harmony and confidence.

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