If you are considering nasal implant removal, the starting point is to distinguish between the removal step and the resulting structure after removal. In some cases, a new implant was inserted into part of the nasal bridge after removing the existing silicone implant, while in others, the nasal bridge was reconstructed using autologous rib cartilage. Even under the same procedure name of removal, the materials finally used and the scope of reconstruction differ.
In cases with a risk of silicone implant extrusion through the skin, the surgical records show that removal was performed alongside nasal tip reconstruction and dermis reinforcement. Therefore, the before-and-after shape is easier to understand when reviewing the context of concurrent procedures performed on the cartilage and skin, rather than focusing solely on removal. Please review the reasons for removal, the condition of the remaining tissue, and the newly performed procedures in order from the original records.
View before-and-after cases ↓Comprehensive rhinoplasty guide
A case where an L-shaped implant placed about 10 years ago caused skin thinning and an upturned nasal tip. The L-shaped silicone implant was removed, and nasal tip reconstruction with autologous rib cartilage, septal correction, and dermal tissue reinforcement were performed.
Performed or used in this surgery
A case of a patient seeking a slimmer line after a previous rhinoplasty. Nasal tip reconstruction with autologous rib cartilage, nasal bridge implant replacement with lowering of the radix, nasal sill reduction, and full-face autologous fat grafting were performed together.
Performed or used in this surgery
A case where a silicone implant became palpable, the nasal tip skin thinned, and asymmetry developed after a previous rhinoplasty. The implant was removed, the nasal tip and septum were reconstructed using sliced autologous rib cartilage, and artificial dermis was used for reinforcement.
Performed or used in this surgery
This is a case of septal damage, a deviated nasal bridge, a bulbous nose, and nasal obstruction following double jaw surgery and two prior rhinoplasties. Autologous rib cartilage septal reconstruction, cartilage repositioning, lateral osteotomy, and functional nasal surgery were performed.
Performed or used in this surgery
A case where damage from previous surgeries led to collapse of the anterior septum and nostril asymmetry. The septum was reconstructed using autologous rib cartilage, followed by nasal tip rhinoplasty with donor rib cartilage and implant replacement.
Performed or used in this surgery
A case of staged nasal reconstruction for a nose damaged by recurrent implant inflammation. After foreign body removal, a 2-year resting period, and stem cell therapy, the structure was rebuilt using donor rib cartilage and an implant was inserted.
Performed or used in this surgery
A case where post-surgical trauma caused a septal tear, resulting in a crooked nose and nostril asymmetry. Septal reconstruction was performed using autologous rib cartilage, along with realigning the columellar central axis and replacing the implant.
Performed or used in this surgery
A case where repeated surgeries and inflammation led to depressed nasal tip skin and implant show-through. The damaged skin was revised, dermal and cartilage grafts were placed, the septum was reinforced with autologous rib cartilage, and the implant was replaced.
Performed or used in this surgery
A revision rhinoplasty case where the septum was depleted due to excessive cartilage use in prior surgeries. The septum was reconstructed using autologous rib cartilage, a cartilage fragment on the bridge was removed, and silicone implant replacement was combined with osteotomy.
Performed or used in this surgery
A high, deviated silicone implant was replaced to lower the radix, and septal extension was performed using donor rib cartilage. Partial soft tissue resection, cartilage tie, and rhinitis surgery addressed the bulbous tip and nasal obstruction.
Performed or used in this surgery
Nostril asymmetry caused by a tilted columellar axis and loss of alar cartilage after Gore-Tex insertion was corrected through Gore-Tex removal, autologous rib cartilage alar reconstruction, and septoplasty.
Performed or used in this surgery
Following three prior procedures, a deviated nose caused by septal damage and a missing right lower lateral cartilage was restored through autologous rib cartilage structural reconstruction, silicone implant replacement, nasolabial angle correction, and rhinitis surgery.
Performed or used in this surgery
An uneven nasal bridge, damaged septal cartilage, and nasal obstruction were corrected by removing the existing silicone implant and filler, followed by autologous rib cartilage reconstruction, re-insertion of a customized silicone implant, and septoplasty with inferior turbinoplasty.
Performed or used in this surgery
We removed previous foreign materials and implants, reconstructed the nasal tip using autologous rib cartilage, reinforced the thinned skin with autologous dermis, recarved a silicone implant, and performed fat grafting between the eyebrows.
Performed or used in this surgery
A deviated septum and an excessively high radix resulting from a previous surgery were precisely corrected using donor rib cartilage septal reconstruction, silicone implant replacement, osteotomy, and inferior turbinate reduction.
Performed or used in this surgery
In a patient presenting with columellar retraction and a pinched right alar rim following rhinoplasty with silicone and donor rib cartilage, the existing materials were removed and reconstruction of the septum and alar cartilage was performed using autologous rib cartilage.
Performed or used in this surgery
To correct the residual deviated nasal bone, dorsal hump, and nasal obstruction remaining after a previous silicone rhinoplasty, the existing implant was removed and lateral osteotomy, autologous rib cartilage tip plasty, and septoplasty were performed.
Performed or used in this surgery
A case of persistent nostril asymmetry and nasal valve stenosis after multiple surgeries, addressed by removing existing implants, performing septoplasty and turbinoplasty, and reconstructing the structure with rib cartilage and a skin graft.
Performed or used in this surgery
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These records include cases where a new silicone implant was partially inserted after removal, cases where the nasal bridge was augmented with autologous rib cartilage, and cases where skin reinforcement and reconstruction were performed together. In other words, one must distinguish whether removal was the entirety of the surgery or just one step toward subsequent reconstruction. To compare this with your desired scope of removal, it is important to check the preserved materials and any accompanying procedures.
First, check the condition that led to removal and the structure built after removal. Records of replacement to change the shape and records of removal and reconstruction due to skin exposure risks start from entirely different baselines. Rather than simply comparing the final height or shape in photographs, the surgical differences become clear when you examine the position of the previous material, the actual extent of removal, and whether cartilage reconstruction or dermis reinforcement was performed.
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