Rhinoplasty–Complications

Infection can occur many months after the surgery. If detected early, treat with wide-spectrum antibiotics until culture results return. Consider daily antimicrobial irrigation with the implant in situ. In most cases, however, the prosthesis must be removed. Placement of another implant can be considered after 6-9 months, or consider the use of autogenous tissue augmentation.

Implant extrusion usually occurs through the skin at the dome or near the membranous septum. The nose can be corrected even without removing the implant if implant has not violated the mucosal lining or skin. One option is to place a protective layer of septal cartilage or auricular cartilage between the skin and the implant. Sterility has breeched if the implant has exposed itself. In this case the implant has to be removed, and 6-9 months have to pass before reinserting another alloplastic implant.