This article is from Dr. Jin Hong-Ryul
“Some rhinoplasty surgeons recommended delaying revision rhinoplasty at least 6 months after removing infected alloplast.
They considered doing simultaneous rhinoplasty after infected alloplast removal raises the risk of anther infection.
From the patient’s point of view, delaying surgery causes a lot of problems.
They have to wait at least 6 months with the nose disfigured and social activity restrains.
The skin will shrink after implant removal, which causes difficulty in later revision.
This pattern of surgery also costs more money than simulaneous revision rhinoplasty.
I have tried simultaneous revision rhinoplasty using autologous tissue when removing infected alloplast removal. I thoroughly removed infected tissue with currettage, irrigate with antibiotic solution, and reconstruct the nose with autologous tissue such cartilage, perichondrium, fascia, and periosteum.
Fine tuing of soft tissue is sometimes difficult because the tissue is slightly edematous and damaged. The chance for reinfection is also considered higher than doing surgery in clean filed.
However, I have found in more than 95% of my simultaneous reconstruction cases, there was no infection and the aesthetic result was also good. Above of all, the patient does not need to wait with social activity restraints and they can immediately go back to their daily life!
I would not hesitate to stimulaneously do dorsal augmentation using autologous tissue when I have to remove the infected alloplast removal.
I hope my results will help surgons change their way of practice when seeing patients with infected allopast.”
1) After rhinoplasty surgery, follow clinic’s post-operative guidelines.
2) Ask to your surgeon
Infection is a risk following any surgery.
You may be given antibiotics to help ward off infection, but that doesn’t mean you have no risk of developing one.
The most important step you can take in controlling potential infection is to take your antibiotics on time.
Monitoring your temperature can also help you to catch early infection’s onest.
Look for changes in your skin and for anything else that doesn’t look or feel right.
If you notice anything unusual, call your surgeon right away.
It pays to be cautious when recovering from surgery.
Do not fuss or pick at your incisions or your nose in general, as you could compromise your outcome or put you at risk for complications.
It is best to simply leave your nose alone to heal.