This happens mostly after the "L" silicone rhinoplasty, that is, even the tip, columella and bridge of nose are made of silicone, which is also the most commonly used rhinoplasty method in previous years. After the L-shaped silicone is implanted into human body, a coating will be formed on the surface to separate the silicone prosthesis from human tissue. Usually, as long as the operation is reasonable, it will be stable in the early stage with few complications. However, after 6- 10 years, the silica gel itself will be denatured, and the stimulation of silica gel on the capsule will also change, and the capsule will be thickened accordingly, breaking the equilibrium mechanical relationship formed in previous years, and the reflection degree of different human bodies will be different. Some people will have capsular contracture, which will make the nose shorter and shorter, the tip of the nose more and more top, some will have capsular hyperplasia, which will make the nose crooked or the contour of the prosthesis more and more obvious, and some will make the skin shallower and shallower.

(Various complications of long-term silicone rhinoplasty)

What should I do after these complications? If you feel that this appearance change is becoming more and more serious, it is recommended to see a doctor as soon as possible and find a professional rhinoplasty surgeon for examination, preferably through surgery. Doctors often take out the denatured silicone prosthesis, cut off or loosen the hyperplastic capsule tissue, anatomically reposition the adhered cartilage, use autogenous costal cartilage or nasal septum cartilage as a scaffold at the midline position, suture and fix the reset cartilage to the ideal position, and then choose swelling or autologous material to place at the bridge of the nose according to the height and width of the nasal tip. After such treatment, the problem will often be completely solved.

(Repair case of unsatisfactory appearance after silicone augmentation rhinoplasty 1)

(Repair case 2 with unsatisfactory appearance after silicone augmentation rhinoplasty)

Of course, there are a few people whose capsule will not change obviously with the degeneration of prosthesis, and their appearance will not change obviously, so they don't need surgical repair.