Silicone Implant in Rhinoplasty
1) Its economical – much cheaper than cartilage Rhinoplasty
2) Day surgery takes 30 minutes to an hour
3) Immediate results happy patient and doctor –though the Joy may be short
4) Can be done by even Doctors with limited experience in Rhinoplasty(common practice in so called cosmetic surgery clinics),No Rhinoplasty surgeon of repute will suggest Silicone implant in Modern practice ,we had revision cases where implant was placed by dermatologist and in one case by a orthopedics surgeon
Stories of patients doing well with implant at 1 year/2 year –yes but every implant will come out some day or other
we have removed implants14 years after primary operation when they come out leaves behind a severely damaged nose, sometime popping up through the skin, very difficult to salvage
Usually two surgeons are involved one who puts in the implant the other removes it. Many times the primary surgeon is not aware of the fate of the implant ,as the patient may not visit him again
The long term risks associated with silicone implants in the face outweigh the benefits and patients should be aware of the problems they can cause.
Silicone implants in the Nose can cause serious complications.
How well does the body react to silicone in the face? Often not that well. Here are some common problems with synthetic facial implants:
- Material limitations: Silicone never incorporates with the body’s surrounding tissue. Instead, the body attempts to “wall off” these implants Therefore, they can never defend themselves from infection or trauma.
- Movement: Silicone implants can shift position or get significantly displaced either while healing, or any time in the future, making the outcome less predictable.
- Imperfect matches: Many silicone implants are pre-shaped, which means that they may not conform well to an individual’s facial or nose anatomy.
- Erosion of underlying bone: Facial implants can put pressure on the facial bones on which they sit. Over time, this can cause erosion and absorption of the underlying bone.
- Infection: Silicone implants in the Nose have a significant risk of infection. Occasionally this infection occurs many years after surgery. Once infected, a facial implant must be removed.
Newer materials like Medpore ,Gortex has been developed ,suppose to have less complication but none is perfect nose does not well tolerate artificial materials
A big no to any artificial implant in Nose
