Silicone Exposure Rhinoplasty with Closed Rhinoplasty Korea Approach

This case demonstrates silicone exposure rhinoplasty using a closed rhinoplasty Korea approach, focusing on implant removal, infection control, and structural reconstruction with long-term stability.

🔹 Patient Condition in Silicone Exposure Rhinoplasty

The patient presented with silicone implant exposure and nasal inflammation following rhinoplasty performed 12 years prior.

Over the past five months, progressive redness, swelling, and signs of infection developed.

Clinical findings included:

• Thinning of nasal tip skin

• Swelling of the nasal bridge

• Nostril asymmetry

• Bulbous nasal tip

• Granulation tissue formation, especially in the left nostril

These findings indicated active inflammation and structural compromise requiring immediate intervention.

Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

🔹 Surgical Approach Using Closed Rhinoplasty Korea

A closed rhinoplasty Korea approach was selected to perform complete internal reconstruction without external incisions.

The surgical plan included:

• Complete removal of the silicone implant and surrounding capsule

• Excision of infected granulation tissue

• Septal extension graft using autologous rib cartilage

• Alar cartilage reconstruction using rib cartilage

• Thorough irrigation with antibiotic-infused saline

This approach allowed effective infection control while restoring structural stability and nasal function.

Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

🔹 Pre-Surgical Structural Analysis

Preoperative assessment revealed:

• High radix contributing to an unnatural nasal profile

• Bulky nasal contour with inflammatory swelling

• Asymmetry of nostrils

• Localized infection and granulation tissue

These findings required both infection management and structural reconstruction.

These are photos of granulation tissue observed in the left nostril.

🔹 Surgical Outcomes and Functional Improvement

Following surgery:

• The silicone implant and infected tissue were successfully removed

• Nasal inflammation was controlled

• Nasal tip was refined and stabilized

• Radix height was lowered for a more natural profile

• Nostril symmetry improved significantly

• Healthy nasal lining and structure were restored

This case demonstrates the effectiveness of combining infection control with structural grafting in silicone exposure rhinoplasty.

Frontal view before surgery (left) after surgery (right)

Side profile view before surgery (left) after surgery (right)

45-degree angle view before surgery (left) after surgery (right)

Nostrils before surgery (left) after surgery (right)

🔹 Why Autologous Rib Cartilage is Essential

In silicone exposure rhinoplasty cases, autologous rib cartilage is essential for safe reconstruction.

It provides strong structural support and reduces the risk of recurrent infection or contracture.

Unlike artificial implants, rib cartilage integrates with the body and maintains long-term stability.

🔹 Surgeon’s Commentary

Silicone exposure is a serious complication that requires immediate and precise treatment.

At NoseLab Clinic, we focus on complete removal of foreign material and reconstruction using a closed rhinoplasty Korea approach.

Our goal is not only aesthetic improvement but also long-term functional stability.

🔹 FAQ

Q1.Why does silicone exposure occur after rhinoplasty?

Silicone exposure occurs due to long-term pressure, infection, or thinning of nasal skin over the implant.

Q2.Is immediate surgery necessary for silicone exposure?

Yes, early intervention is critical to prevent further tissue damage and infection.

Q3.Why is rib cartilage used instead of another implant?

Autologous rib cartilage provides stronger and safer structural support, especially in revision cases with infection.

🎥 YouTube Reference

If you’re curious about Dr. Cha-Young Kang’s closed rhinoplasty approach, click to watch the video.

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