Question: I had a silicone implant placed in my nose from a rhinoplasty years ago. I heard that silicone implants are very bad. Is this true and should I have it removed and replaced with something else?
Answer: Silicone implants are a very controversial subject. In some parts of the world, these implants or injectables are used and the surgeons in these regions perform them with very good results. In North America in general, we refrain from using silicone implants. Any implanted tissues carry a risk of working its way out of the nose and being extruded which may leave a scar. There may also be some pain associated with the implant and some redness over the area. If the patient has no symptoms, the patient needs to discuss the situation with an experienced surgeon. If the patient has no problems with the implant and is comfortable with how the how the implant is placed, they may want to leave the implant in place. If the patient is having trouble or complications from the implant or is concerned with the long-term effects of having a silicone implant in place, they might like to have it removed. In summary, the best approach is determined by meeting with an experienced rhinoplasty surgeon to consult with you regarding your nose.