Risks of Silicone Rhinoplasty
Jun 04, 2019
Source: Cainiu Health
Dr. Ren Fengli
Introduction
This is primarily due to improper placement depth during surgery; if the implant is placed too superficially, complications such as visibility of the implant, implant mobility (“wobbling”), and light transmittance may occur. Silicone nasal augmentation may also lead to hematoma, seroma, or infection; should hematoma or infection develop, the silicone implant must be removed. Additionally, silicone nasal augmentation carries a risk of foreign-body rejection, although this is rare.
Rhinoplasty with implants can be performed using silicone implants or expanded polytetrafluoroethylene (ePTFE, commonly known as “Gore-Tex”) implants. Autologous rib cartilage and allogeneic rib cartilage are also used for nasal augmentation.
Risks associated with silicone rhinoplasty:
First, it is essential to select only certified, high-quality silicone implants from reputable manufacturers.
The primary risks of silicone rhinoplasty stem from improper implant placement depth. If the implant is placed too superficially, complications such as visible contour irregularities (“show-through”), implant mobility (“wobbling”), and light transmission (“translucency”) may occur.
Hematoma and seroma formation, as well as infection, are additional potential complications of silicone rhinoplasty. Should hematoma or infection develop, surgical removal of the silicone implant is typically required.
Moreover, although rare, silicone implants may trigger an immune-mediated foreign-body reaction (i.e., implant rejection). Overall, the incidence of serious complications with silicone rhinoplasty remains low in clinical practice, which explains its widespread use.
