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Why does my nose become shorter and shorter after silicone rhinoplasty for a long time?

(The "L"-shaped silicone prosthesis was commonly used in the past few years)

This situation often occurs after "L"-shaped silicone rhinoplasty surgery, that is, even the tip of the nose, nose The columella and bridge of the nose are both made of silicone, which was also the most commonly used rhinoplasty method in previous years. After the "L"-shaped silicone is implanted into the human body, a capsule will be formed on the surface. This complete coating will separate the silicone prosthesis from human tissue. Usually, as long as the surgical operation is performed properly, it will be relatively stable in the early stage and there will be no complications. Not common. But after 6-10 years, the silicone itself will denature, and the stimulation of the capsule by the silicone will also change. The capsule will thicken accordingly, breaking the balanced mechanical relationship formed in the past few years. In different human bodies, The degree of reflection will be different. Some will have capsular contracture, making the nose shorter and shorter, and the tip of the nose will become more and more pointed. Some will have capsular hyperplasia, making the nose crooked or the contour of the prosthesis will become more and more obvious. Some may experience various complications such as the surface skin becoming more sensitive.

(Various complications that occur after a long time of silicone rhinoplasty)

What should you do if these complications occur? If you feel that this change in appearance is gradually getting worse, it is recommended to seek medical treatment as soon as possible and ask a professional rhinoplasty surgeon to check. It is best to improve it through surgery. Doctors often remove the denatured silicone prosthesis, remove or loosen the proliferated capsular tissue, anatomically reduce the adhering cartilage, use autologous costal cartilage or septal cartilage as a midline scaffold, and suture the reduced cartilage to the In the ideal position, expanded or autologous materials are then placed on the bridge of the nose based on the height and width of the nose tip. After such treatment, the problem will often be solved more completely.

(Repair case 1 of dissatisfied appearance after silicone rhinoplasty)

(Repair case 2 of dissatisfaction with appearance after silicone rhinoplasty)

Of course , there are also a small number of people whose capsule will not change significantly with the degeneration of the prosthesis. The appearance of this group of people will not change significantly, and there is no need for surgery to repair it.