Why L-Shaped Implants Are Dangerous (3)

* Basic Information

# Female in her 20s

# The skin at the tip of the nose has become extremely thin after L-shaped silicone surgery several years ago.

* Consultation

# In the pre-operative CT scan, the L-shaped implant was so large that the nasal tip skin wasn’t just thinning; it was on the verge of perforation.

# After fully 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)

# Nasal Bridge Surgery (Implant replacement)

* Intraoperative Findings

# Notice how bright red the nasal tip is before surgery? The L-shaped implant was so oversized that the skin was at its limit—practically about to break through.

# After removing the implant while preserving as much skin as possible, we reinforced the thinned skin using 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 flesh tone compared to before surgery. By layering cartilage and soft tissue over the thinned area, the recovery looks very successful.

# When performing revision surgery, it is crucial to establish a perfect plan and prepare thoroughly beforehand. Considering various variables in advance allows for a flexible response 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 – Yu 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

Can an L-implant make the skin at the tip of the nose thinner?

Yes, it can. If an L-implant is placed too long or is too large at the nasal tip, the skin at the tip of the nose can become thin, or in severe cases, it can be on the verge of perforating. In this case, the L-implant was also the cause of the thinning skin at the nasal tip.

How can thinning skin at the nasal tip be compensated after L-implant removal?

Thinning skin at the nasal tip can be thickened using soft tissue, dermis, or cartilage. In this case, after removing the implant, cartilage and soft tissue were used to reinforce and compensate for the thinned skin.

Is a red nasal tip also a side effect of an L-implant?

Yes, a red nasal tip can be a side effect of an L-implant. In this case, the L-implant was too large and extended to the nasal tip, causing the skin to thin and turn red, which significantly improved after surgery.

What is important when undergoing revision surgery for an L-implant?

When undergoing revision surgery, it is crucial to plan and prepare perfectly before the operation. Various variables should be considered in advance to allow for flexible responses to unexpected situations during surgery.

What happens to the nose shape after L-implant removal?

After L-implant removal, the nose shape can be improved through procedures such as compensating for the thinned nasal tip skin and replacing the dorsal implant. In this case, the nose showed a natural recovery in both frontal and lateral views two months after surgery.