2026-05-25
Problems with L-Shaped Silicone Implants (2)
A case study of a patient with thinning nasal tip skin due to a large L-shaped silicone implant, successfully treated with implant replacement and tissue grafting.

* Basic Information
# Female in her 20s
# The skin at the tip of the nose became extremely thin after undergoing surgery with an L-shaped silicone implant several years ago.
* Consultation
# In the pre-operative CT scan, the L-shaped implant was so large that the nasal tip skin was not just thin, but on the verge of perforation.
# After thoroughly explaining the risk that the skin could tear during surgery, I recommended immediate removal. Simultaneously, we planned to reinforce the skin thickness in the thinned areas using soft tissue and dermis.

* Surgical Plan
# Nasal tip surgery (Reinforcing thinned skin, septal extension graft)
# Bridge surgery (Implant replacement)






* Intraoperative Findings
# Notice how bright red the nasal tip was before surgery? Because the L-shaped implant was too large and extended all the way to the tip, the skin was in a state of imminent perforation.
# While preserving as much skin as possible, the implant was removed, and the thinned skin was reinforced with cartilage and soft tissue.
* Postoperative Findings
# While the redness of the nasal tip skin cannot disappear entirely, you can see it has returned significantly to a natural skin tone compared to before the surgery. The thinned area appears much more recovered after being reinforced with cartilage and soft tissue grafts.
# When performing revision surgery, it is crucial to establish a perfect plan and prepare thoroughly beforehand. One must consider various variables in advance to respond flexibly to unexpected situations that may arise during surgery!
Consultations and surgeries should be performed by a board-certified plastic surgeon!
Take care of both your health and beauty today :)
Right Thinking, Right Plastic Surgery – Yoo Young-moon
Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur after surgery depending on the individual, and caution is required.