Problems with L-Shaped Silicone Implants (2)

* 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.

Frequently Asked Questions

What problems can arise with L-silicone implants?

If an L-silicone implant is inserted too large, there is a risk of the skin at the nasal tip thinning or, in severe cases, perforating. In this case, the nasal tip was red and the skin was thinned almost to the point of perforation.

How can thinning skin at the nasal tip be remedied?

Yes, it can be remedied. In this case, after removing the L-implant, the thinned skin at the nasal tip was augmented in thickness using soft tissue and cartilage to aid recovery.

How is revision rhinoplasty performed after L-silicone removal?

After L-silicone removal, nasal tip plasty to augment the thinned skin and septal extension grafting can be performed. When performing bridge augmentation, the implant can be replaced to improve the overall shape of the nose.

What are important considerations for revision rhinoplasty?

For revision rhinoplasty, it is very important to plan and prepare perfectly before the surgery. Various variables should be considered in advance to flexibly respond to unexpected situations.

Does thinned nasal tip skin fully recover after surgery?

While it may not completely disappear, you can see that it returns to a much more natural skin tone and recovers significantly compared to before the surgery. By augmenting it with cartilage and soft tissue, you can expect an improvement effect.