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SEHYUN PLASTIC SURGERY
IMPLANT SHOW-THROUGH & DEVIATION
SEHYUN PLASTIC SURGERY
Revision Rhinoplasty · Visible or Shifted Implant
CASE
When considering nasal silicone removal, we first check the position of the implant and the condition of the surrounding skin and tissue. After nose surgery, thinning skin can allow the implant to show through and can become red. This can happen because the skin is naturally thinner or more sensitive, but it also occurs when the nose has been raised too much.
In revision, the height of the implant is lowered, and in some cases fascia or dermis is used as a supplement to reinforce the thinned skin.

CASE
CASE 01
A nose that looks crooked after surgery is usually due to left-right asymmetry that was not fully addressed or corrected. Occasionally, the bridge implant was inserted crooked.
Any deviation or asymmetry of the nasal bones, cartilage or septal cartilage is corrected or compensated for. If the implant is crooked, securing it properly along the midline can correct the crooked appearance.
CASE 02
If the implant does not settle between the nasal bone and periosteum, it will move when touched.
This happens when the implant is not positioned correctly; if the space created by separating the periosteum or skin is too small or narrow, the implant can deform or move.
When the implant moves, the silicone is removed, the space between the bone and periosteum is precisely dissected and the silicone is repositioned, which eliminates or greatly reduces the movement.
IMPLANT VS AUTOLOGOUS TISSUE
Implants are not a poor choice of material. They are safe materials that have been used in the human body for more than 100 years,
but surgical outcomes can vary and side effects can occur
because some patients have a foreign-body reaction to silicone or because surgeons differ in skill.
We believe that with an experienced surgeon who understands anatomy and the properties of each material,
satisfying rhinoplasty results can be expected even with an implant.
However, for those who are very worried about side effects, have recurring inflammation after rhinoplasty, are sensitive to silicone,
or whose internal tissue has been badly damaged by multiple revisions, autologous tissue rhinoplasty can be a safe and natural option.
MATERIALS
Fascia is the fibrous membrane that covers muscle. If the skin is thin, temporal fascia can be harvested from the scalp above the ear to add another soft layer over the structure.
Dermis can be harvested from behind the ear as well as from the buttocks.
It is also used as a bridge material, but mainly to reinforce thin nasal skin or areas with inflammation.
A biological material made by specially processing donated human skin tissue so it can be used without a foreign-body reaction.
AlloDerm is used in combination with other autologous tissue rather than on its own.
Q&A
Before a nasal implant is removed, the implant's position and the condition of the surrounding skin and tissue are checked first. Depending on the cause, such as an implant that shows through the skin or has shifted, the decision is made whether to reposition the implant or remove it and rebuild the nose with autologous tissue.
Revision with autologous tissue uses materials such as temporal fascia, which wraps the structure when the skin is thin, and autologous dermal fat harvested from areas such as behind the ear. At Sehyun Plastic Surgery, Chief Surgeon Dr. Yoo Hyun-seok, a board-certified plastic surgeon, personally handles implant removal and autologous tissue revision, from diagnosis to surgery and follow-up.
If inflammation persists around the implant or contracture makes the nose turn up and bend, removal or replacement may be needed. We also examine cases where the skin has thinned and the implant outline shows, or the implant has shifted. Whether removal is needed is decided individually based on changes in the skin and surrounding tissue.
You can find actual reviews under Revision Rhinoplasty in the Real Surgery Reviews section of the Before & After menu. Members must log in to view full reviews and photos.
We first determine whether the crooked appearance is caused by the implant's position or by asymmetry of the nasal bone, cartilage or septum. If the implant is tilted, it is secured along the midline, and if asymmetry of the bone or cartilage remains, correcting those areas is also considered. The scope of surgery differs for each person depending on the structure of the nose and the condition of the tissue.
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