Q: Dr. Eppley, I had a L-shaped silicone nasal implant placed a 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:
1) 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.)?
2) 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?
3) 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?
A: Undoubtably your current nasal implant is too ‘small’ lacking both adequate height and width. That is a reflection of the nasal implant style and size. With silicone nasal implants there are many different styles and sizes that can likely fulfill your aesthetic nasal needs. With the right implant the radix and even up into the glabella can be augmented. At the same time as the revision nasal implant surgery is performed, a premaxillary implant can be placed on top of the nasal spine to help open up the nasolabial angle.
Dr. Barry Eppley