LAM FACIAL PLASTICS

Hi Dr. Lam,

Earlier in January of this year I had a 2nd rhino and I had a silicone implant put in. The implant is small and starts from between my eyes and tapers off by the midsection of my bridge. This implant was supposed to give a smooth transition from my forehead to the bridge, however I don't like how tall it makes my nose look. How soon will I be able to get the implant removed? and how long should recovery be if it was possible.
Thanks in advance for your help!

you can remove it anytime, and i would recommend sooner than later. if left in for many months to years silicone can affect the underlying cartilage. recovery typically is minimal.
best,
sml

Thankyou doc that helped a lot. Also since it is only a removal, would you recommend just going back to the same doctor? and do you think he would charge me another rhino fee?

i would consider going back to your doctor and give him a chance to correct what you don't like. whether he charges you a modest fee for removal would be up to you and him to discuss. best of luck with that.
sml

Hi Dr. Lam,

I have another question concerning the silicone removal. My doctor said when the silicone is removed he might have to shave my tip down a little to match the bridge. I also noticed that from the middle of the bridge going to my tip of my nose it kind of humps up, and a little bit on the sides as well. The doctor said it might be due to the scar tissue that has formed.

Would this be considered a third rhinoplasty?

And are there any more risks involved since it is a 3rd surgery?

Since I plan on getting the 3rd surgery, would the scar tissue that forms after that surgery cause my nose to look more bulky/bulbous that before? (would he have to shave it down extra because of the scar tissue?)

I was thinking about having the silicone replaced with something thinner, so it doesn't project out of my face so much. I recall reading somewhere that sometimes when the silicone implant is removed it leaves a fibrous capsule behind, which could somewhat retain some high and there could be no need for the replacement if you just wanted a tiny bit more height. From your experience, what would u recommend?

Thankyou so much in advance once again for all you help!

hi,
obviously, i really cannot answer these questions without seeing you in person and really knowing everything that is going on with you. these questions are too broad and should be directed toward your doctor. however, in general, i would say anytime you do more surgery you carry risk of blood supply issues and scarring. i personally find that shaving down the tip to match a bridge that would be too high does not make a lot of sense. i would sometimes just augment a little between the bridge and the tip to soften any remaining imbalance after the implant is removed. i think in most cases if a capsule has formed then another implant is not necessary but capsules tend to form only after many months (don't know exact number) and would leave a different degree of augmentation depending on the person and size of the implant.

I have an implant on my nose for 5 months already. After couple weeks of the surgery my nose gets red and itchy. Look like i had couple pimples in it and when I pushed down some kind of white stuff came out. It is not really hurt but kind itchy, a little red. I went back to my doctor and he checked and said is not infected , he gave me a cream to put on my nose, but for 2 months already it still had couple pimples in there and still has some white stuff came out. But It get less red and itchy. I also went to the dermatology they took the culture and sent to the lab they said negative. Now they sent me to test for allergy?? Is my skin is allergy with this silicone?? Do I need to change for a different brand silicone?

obviously, i cannot answer your question without seeing you. however, my gut tells me that the white stuff that you are expressing has nothing to do with your rhinoplasty. most likely, this is just normal stuff that almost anyone can squeeze out of his/her nose. i think the more you play with your nose, the more redness and stuff will come out. perhaps if you stop playing with it, the nose over time will become less irritated. those are my thoughts.
best,
s.

Hi,
This is my first day in this forum and I hope you will welcome me here...!I have been reading this forum since many days and I did not see any negative point in it. I underwent Asian rhinoplasty 5 months ago. During the surgery, my surgeon inserted a silicone implant on the bridge of my nose and used ear cartilage to refine my tip. However, this week, I noticed that there was a bump on the tip of my nose. At first, I thought it was a bug bite or a pimple, but it felt very different. I went in to see my surgeon about this, and he said that my implant is too large and is pushing down on the tip. Thus, a bump has been created. He suggests I can either remove the implant altogether or replace it with a smaller implant. Many patients get their groceries from werbemittel industry for the sake of their convenience. When I decided to get rhinoplasty, I was most concerned about my nostril size and the tip of my nose. I did not have a desire to work on the bridge.

hi,
the bottom half of your post looks like an advertisement. i assume it is not. assuming that, i would say that obviously removal of the implant sounds like a must. however, whether to change it for a smaller one or not is up to you and your surgeon. i have had enough problems with silicone that i have abandoned its use in the nose altogether. it is great for chin implants but really not for nose implants. that is a discussion however you should have with your surgeon.
best,
sml

dr. lam wrote:hi,
the bottom half of your post looks like an advertisement. i assume it is not. assuming that, i would say that obviously removal of the implant sounds like a must. however, whether to change it for a smaller one or not is up to you and your surgeon. i have had enough problems with silicone that i have abandoned its use in the nose altogether. it is great for chin implants but really not for nose implants. that is a discussion however you should have with your surgeon.
best,
sml

Hi, dr. lam,
It was not ofcoarse, but I have edited my message. Now is it ok???
Thanks.

ok, thanks.

Hello,
Generally speaking a nasal implant can be removed. Silicone implants have the least amount of ingrowth from the surrounding tissues and are the easiest implants to remove. Gore-tex and med-por are much more difficult implant to remove due to the tissue in growth...

that is correct. however, gore-tex removal is still very doable. i have done it. but med-por is another story. almost impossible to get out.

Hello dr. lam,
I want to ask from about some method(s), that after pregnancy, a woman may not suffer from her belly swelling? Please reply if there is any method to escape from...!
Thanks