Case at a glance
- Concerns & goals
- Excessive nostril exposure, implant translucency at the nasal dorsum, high nasal bridge starting point, and long philtrum created an artificial appearance.
- Overly high nasal root at the glabella, short upturned nasal tip, depressed columella, and narrow nasolabial angle gave the upper lip a protruding look.
- Prominent upper lip protrusion, unnatural glabella-to-dorsum transition, and columellar retraction were noted.
- Previous treatment
- Surgical plan
- Safe, complete removal of the Silitex implant with attached Gore-Tex layers, along with excision of scar tissue and damaged soft tissue.
- Autologous rib cartilage for tip projection and support, custom silicone implant for smooth dorsal line, and rib cartilage grafts for columella and nasolabial angle correction.
- Facial fat grafting for contour harmony, lowering nasal root starting point, and balancing nasal proportions with facial features.
- Graft & material details
- Safe, complete removal of the Silitex implant with attached Gore-Tex layers, along with excision of scar tissue and damaged soft tissue.
- Autologous rib cartilage for tip projection and support, custom silicone implant for smooth dorsal line, and rib cartilage grafts for columella and nasolabial angle correction.
- Photo timing
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Surgical History of Silitex Implant Removal Rhinoplasty Revision
The patient underwent primary rhinoplasty in 2019 using a Silitex implant, a combination of Gore-Tex encasing silicone. Over time, functional and aesthetic issues developed, leading to the need for a Silitex implant removal rhinoplasty revision.
Initial Assessment Before Silitex Implant Removal
Frontal View Findings
Excessive nostril exposure, implant translucency at the nasal dorsum, high nasal bridge starting point, and long philtrum created an artificial appearance.
Side View Findings
Overly high nasal root at the glabella, short upturned nasal tip, depressed columella, and narrow nasolabial angle gave the upper lip a protruding look.
Oblique View Findings
Prominent upper lip protrusion, unnatural glabella-to-dorsum transition, and columellar retraction were noted.
Nostril View Findings
Significant nostril asymmetry and scar tissue on the right columella were visible.
Patient Goals for Silitex Implant Removal Rhinoplasty Revision
The patient aimed to correct the nasolabial angle, reduce lip protrusion, lower the nasal bridge starting point, achieve a smooth transition at the nasal root, refine the nasal tip, reduce nostril visibility, and improve columella support.
Surgical Approach in Silitex Implant Removal Rhinoplasty Revision
Implant Removal
Safe, complete removal of the Silitex implant with attached Gore-Tex layers, along with excision of scar tissue and damaged soft tissue.
Structural Reconstruction
Autologous rib cartilage for tip projection and support, custom silicone implant for smooth dorsal line, and rib cartilage grafts for columella and nasolabial angle correction.
Overall Refinements
Facial fat grafting for contour harmony, lowering nasal root starting point, and balancing nasal proportions with facial features.
Results After Silitex Implant Removal Rhinoplasty Revision
Frontal View
Balanced nostril exposure, elimination of implant translucency, and a natural nasal bridge start point.
Side View
Natural nasal root height, stable nasal tip, and improved nasolabial angle.
Oblique View
Improved nasal projection, smooth dorsal line, and enhanced facial harmony.
Expert Commentary on Silitex Implant Removal Rhinoplasty Revision
Silitex implants, combining Gore-Tex and silicone, adhere strongly to tissue, making removal technically demanding. Incomplete removal can cause complications. This case succeeded by safely extracting the implant and reconstructing with rib cartilage and silicone, restoring both function and aesthetics.
NoseLab performs all procedures with a closed approach.
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