Silitex Implant Removal Rhinoplasty Revision – Restoring Function and Balance

noselab
1월 31일
2분 분량

최종 수정일: 9월 26일

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.

Silitex implant removal rhinoplasty revision – frontal, left side, and oblique side view before surgery — Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos

Silitex implant removal rhinoplasty revision – right side, oblique side, and nostril view before surgery — Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos

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.

Removed Silitex implant with Gore-Tex and silicone layers from rhinoplasty revision case

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.

Silitex implant removal rhinoplasty revision – nostril view before surgery (left) and immediately after surgery (right) — Before (Left) / Immediately After (Right)

Expert Commentary on Silitex Implant Removal Rhinoplasty Revision

Silitex implant removal rhinoplasty revision – immediate postoperative frontal, oblique side, and right side view — Immediately After Surgery: Frontal, Oblique Side, and Side View Photos

Silitex implant removal rhinoplasty revision – immediate postoperative nostril view — Immediately After Surgery: Nostril View Photos

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.