Safe Silicone Exposure Rhinoplasty and Nasal Inflammation Correction

noselab
2024년 10월 22일
2분 분량

최종 수정일: 9월 29일

Hello, this is Dr. Cha-Young Kang, head surgeon at Nose Lab Clinic.

Today, I would like to share a successful case of silicone exposure rhinoplasty where we treated a patient suffering from implant extrusion and nasal inflammation. The patient had undergone rhinoplasty at another clinic 12 years ago with silicone and ear cartilage. Over the past five months, redness and swelling appeared, indicating infection and exposure of the implant.

Pre-Surgery Analysis of Silicone Exposure Rhinoplasty Cases

Preoperative consultation photos for safe reconstructive surgery for silicone exposure and nasal inflammation, showing frontal, left oblique, and left side views with a low nasal bridge and asymmetry. — Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

Frontal view: Thinning skin at the nasal tip, swelling of the bridge, nostril asymmetry, and bulbous nasal tip.
Profile view: Bulky nose with a high nasal starting point (radix).
Oblique view: Prominent high bridge with redness and inflammation.
Nostril view: Granulation tissue and redness, particularly on the left side.

Preoperative consultation photos for safe reconstructive surgery for silicone exposure and nasal inflammation, showing right side, right oblique, and nostril views with redness and nasal asymmetry. — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Surgical Plan and Closed Rhinoplasty Approach for Silicone Exposure

Our surgical plan focused on both infection control and structural reconstruction:

Removal of silicone implant and surrounding capsule
Excision of infected granulation tissue
Septal extension graft with autologous rib cartilage
Alar cartilage reconstruction using rib cartilage
Thorough irrigation with antibiotic-infused saline

All steps were completed with a closed rhinoplasty approach, leaving no external scars.

Intraoperative photos during safe reconstructive surgery for silicone exposure and nasal inflammation, showing granulation tissue inside the left nostril with surgical instruments. — These are photos of granulation tissue observed in the left nostril.

Before-and-After Results of Silicone Exposure Rhinoplasty

Frontal view before and after safe reconstructive surgery for silicone exposure and nasal inflammation – pre-surgery redness and swelling at the nasal tip (left) compared to the improved and corrected nasal shape immediately after surgery (right). — Frontal view before surgery (left) after surgery (right)

Frontal view: Bulky nose refined, nasal tip slimmed, nostril asymmetry corrected.

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

Profile view: High radix lowered, nasal tip reshaped, nasolabial angle corrected.

45-degree oblique view before and after safe reconstructive rhinoplasty for silicone exposure and nasal inflammation – pre-surgery swelling and bulbous nasal tip corrected to a smooth, natural straight line post-surgery. — 45-degree angle view before surgery (left) after surgery (right)

Oblique view: Swollen contour replaced with a smooth, natural nasal line.

Nostril view before and after safe reconstructive rhinoplasty for silicone exposure and nasal inflammation – pre-surgery nostril asymmetry and redness corrected to balanced and natural nostril shape post-surgery. — Nostrils before surgery (left) after surgery (right)

Nostril view: Asymmetry corrected, granulation tissue removed, healthy nostril shape restored.

Immediately after surgery, swelling was reduced and the nasal shape appeared balanced and natural.

Why Autologous Rib Cartilage is Essential in Silicone Exposure Revision

Long-term silicone implants, especially L-shaped, often lead to complications such as extrusion and inflammation. To ensure stable reconstruction, autologous rib cartilage was used for septal extension and alar correction, minimizing the risk of recurrent infection and contracture.

Immediate post-surgery photos of safe reconstructive rhinoplasty for silicone exposure and nasal inflammation – frontal, side, and oblique views showing reduced swelling, corrected asymmetry, and natural nasal bridge line. — Photos taken immediately after surgery, frontal view, 45-angle view, and side profile.

Immediate post-surgery nostril view after reconstructive rhinoplasty for silicone exposure and nasal inflammation, showing corrected nostril asymmetry and clean internal structure following removal of granulation tissue. — Photo of the nostrils

Conclusion

This case demonstrates the importance of immediate treatment in patients with silicone exposure rhinoplasty complications. Complete implant removal, infection control, and rib cartilage reconstruction were key to restoring both function and aesthetics.

At Nose Lab Clinic, we specialize in closed rhinoplasty and complex revision cases, ensuring safe and natural outcomes with autologous tissue.

This has been Dr. Cha-Young Kang, head surgeon at Nose Lab Clinic.

Thank you.