Dr. Sam Lam Plastic Surgery Forum

Unfortunately, I have oftentimes encountered pressure necrosis on cartilage upon removing a silicone implant as well as pressure changes on bone. This is dependent on multiple factors but principally on the size and heaviness of the implant itself.

I don't want to scare you. In general, my recommendation is that if the implant looks bad, it should be removed. If there is pressure changes, in general, I can fix it with a few drops of liquid silicone if need be. Of course, a revision rhinoplasty may be necessary. However, silicone implants usually are so big especially with the component of encapsulation that simple removal is sufficient in many cases if not better. Obviously, only an inperson consultation would be necessary to make those decisions with you.
best,
sml

sorry for the big words: necrosis means partial cartilage loss. i would say the minority need to have revision since most silicone implants are just too big. so after removal the nose can be about right. however, sometimes silicone touchups are necessary if there is necrosis or if the nose tip is too "weak" and the bridge too low, then a revision rhinoplasty may be needed.