Unless it is necessary to reconstruct the shape due to an injury, plastic surgery is not mandatory. Rhinoplasty involving the use of an artificial prosthesis (silicone) to raise the nose has been reported to have a slightly higher frequency of inflammation. Even if unexpected issues arise, they can be corrected easily in most cases. It is desirable not to perform immoderate anesthesia during rhinoplasty, and no health problem is caused. However, patients must follow the recommendations of the medical staff in order to ensure a safe surgery. We need your cooperation during the treatment period after surgery. Please follow the instructions of the plastic surgeon. Rhinoplasty is a safe surgery almost free of side effects.

When rhinoplasty became popular at first, surgeries were often performed by unlicensed individuals. There have been many rhinoplasty operations that injected foreign matter not to be injected in the human body, such as liquid silicone and paraffin. Reoperations take place arising from complications from such cases. Another main cause of reoperation is prostheses, which have been used since the 1980s until recently. In the early days, an artificial prosthesis was inserted all the way to the tip of the nose because the method of using autologous cartilage was not available, occasionally resulting in a heavy burden on the skin. Also, the unnatural nose shape undergoes deformation with time.

Patients may show rejection symptoms against prostheses of certain properties. However, prostheses of certain properties do not cause more inflammation. The human body constantly gets and overcomes inflammation. Inflammation that disappeared before surgery can remain because of prosthesis after surgery.
If inflammation near a prosthesis remains, nasal tissues may not function healthily and affect the surroundings, causing redness, pain, and contracture. Follow the instructions of the medical staff after surgery to prevent facing issues.

Each patient needs a different kind of prosthesis. Every doctor may prefer a particular prosthesis as well. Personally, I think that silicone has the prettiest shape among artificial prostheses. A prosthesis forms the shape of the nose. If the nasal bone is low, the prosthesis can raise the height of the nasal bone.
In other words, we “magically” insert a material that can look like the nasal bone. When people see the patient after surgery, they say that the patient naturally seems to have “looked that way since birth.” The nose after surgery looks more natural than the nose before surgery.

Side effects of ordinary surgeries include bleeding, infections or inflammation, and other neural damages. However, in most cases, side effects of rhinoplasty are caused by inflammation. Inflammations are usually treated by medicine or injection. Inflammations seldom occur if no prosthesis is inserted. Side effects like neural damages from the facial contouring surgery and full facelift rarely occur from rhinoplasty, and bleeding does not occur either.
Contracture is a phenomenon that can be caused by rhinoplasty. Contracture refers to the gradual lifting of the nasal tip after the lapse of substantial time. Although the frequency of contracture is quite low, it can occur if inflammation in the nose is neglected for a considerable time. Contracture is correctable, and inflammations do not always lead to contracture.

Over 90% of rhinoplasty reoperations are related to aesthetic issues. If the first surgery is successful, a reoperation is mostly unnecessary. However, most surgeries have problems like ‘unreasonable demand of the patient,’ ‘operation by a surgeon who lacks experience,’ ‘operation by a non-specialist,’ ‘nose that is only high in the middle of the forehead,’ ‘unnatural look caused by too many artificial substances,’ ‘too sharp nasal tip,’ ‘no improvement of round nose,’ ‘sagging of the nasal tip,’ ‘visible prosthesis,’ ‘visible cartilage,’ and ‘prosthesis not fixed in place.’

That is not true. The choice of the prosthesis must be based on the patient’s conditions, and it is important to accurately determine why the side effect occurred after the previous surgery. Therefore, patients should seek a surgeon who has a variety of experiences.

Generally, you should wait three to six months after removing the silicone. Depending on the case, you may need to wait for one year or longer. Be patient and listen to the opinions of the medical staff.

1) Understand the purpose of reoperation accurately. Make sure to tell the medical staff about what you would like to achieve.
2) Listen carefully to the opinions of the medical staff. It would be the best if the surgeon’s skill meets the patient’s expectation, but you need to respect the opinions of the surgeon if your expectation is high. Immoderate surgery can result in yet another reoperation. A surgeon who has rich experience can make better shapes than inexperienced surgeons. Please trust your surgeon.
3) Follow the recommendations of the medical staff after surgery. Remember that your body is valuable.