Implant Rhinoplasty

Q: Dr. Eppley, I had a L-shaped silicone implant rhinoplasty donea year and a half ago. There have been no major complications, but I’m looking for a revision for a better aesthetic outcome. My biggest issue is that the implant seems too ‘narrow’, and I’m looking for a new implant that’s wider and longer to give me a more masculine nose. My questions are:

– I know that many surgeons favor rib cartilage, but I’m honestly not fond of such an invasive procedure and lengthy recovery (especially the scar). If I only want a synthetic implant material, which one would you recommend (silicone, Gore-Tex etc.)?

– Apart from my bridge, I’m hoping for a more pronounced radix and glabella. Could this procedure be done at the same time as the rhinoplasty?

– Finally, I’m looking to increase my nasolabial angle. Could a small implant be placed under my nasal spine to bring the base of my nose forward?

Thank you!

A:  In your revision implant rhinoplasty the question is whether any standard nasal implant would suffice for your needs or whether a custom nasal implant would need to be made. I would need to see some pictures of your nose to make that determination. I believe all of your revisional nasal objectives can be achieved with a new silicone implant that has the right dimensions.

Dr. Barry Eppley

Indianapolis, Indiana