Does Implant Show-Through After Rhinoplasty Inevitably Occur Over Time?

Does Implant Show-Through After Rhinoplasty Inevitably Occur Over Time?

Hello.

This is BT Plastic Surgery in Gangnam.

People considering a rhinoplasty implant often say the same thing at least once during their consultation.

“Won’t the implant become visible later on?”

Many of you may have seen cases of rhinoplasty implant show-through as a complication online or heard about them from people around you.

Some people even consider only implant-free rhinoplasty after seeing cases of show-through.

Today, we will explain that a rhinoplasty implant does not inevitably become visible over time and summarize the actual causes of show-through.

Does time cause rhinoplasty implant show-through?

The phenomenon of a rhinoplasty implant becoming visible is difficult to view as a problem that occurs simply because time has passed.

Many people believe that “the skin becomes thinner over time, causing the implant to show through.”

However, this explanation is not accurate.

Implant show-through results from a combination of factors, including skin thickness, the implant’s size and position, and individual tissue characteristics.

Cases in which a rhinoplasty implant becomes visible

① When the implant is too large

If an implant larger than the range that the nasal skin and soft tissue can accommodate is inserted, continuous pressure and tissue changes may make the implant’s edges appear prominent.

② When the implant is not positioned correctly

If the implant extends excessively toward the nasal tip, show-through may occur in the thin-skinned tip area.

This is why designing the implant position while considering the existing shape of the nose is important.

Can an implant suddenly become visible even years after rhinoplasty?

If the implant has settled securely and the surrounding tissue remains healthy, a rhinoplasty implant does not suddenly become visible simply because time has passed.

However, the following circumstances increase the likelihood that the implant’s outline will become visible.

• When the skin is congenitally thin

• When repeated surgery (revision surgery) has been performed

• When tissue changes such as inflammation or contracture have occurred

Therefore, during the initial rhinoplasty, the key is designing the procedure while taking the individual’s tissue condition into account.

Is implant-free rhinoplasty a safer choice?

Implant-free rhinoplasty is not the right answer in every case.

Depending on the desired nasal height, skin thickness, and degree of change, an implant may be more appropriate in many cases.

What matters is not whether an implant is used itself, but choosing a surgical method suited to the current condition of the nose.

In particular, when an implant is needed but the skin is congenitally thin, a method of reinforcing the skin by adding autologous tissue may also be performed.

BT Plastic Surgery Rhinoplasty – CT Analysis-Based Planning

In rhinoplasty, it is important to examine the current nasal structure and tissue condition before surgery.

At BT Plastic Surgery, CT analysis is performed before rhinoplasty to assess skin thickness, the condition of the nasal septum, and the soft-tissue conditions, after which whether to use an implant and its height are determined.

This is why the surgical approach is planned within the range that the current tissue can accommodate, rather than simply making the nose higher.

Director Seung-ho Lee, who oversees rhinoplasty at BT Plastic Surgery, is an otolaryngology specialist and develops rhinoplasty plans that also take the internal structure of the nose into consideration.

The outcome of rhinoplasty with an implant depends less on the type of implant than on the planning process, which takes the individual’s nasal structure and tissue condition into account.

If you are considering rhinoplasty

Rather than focusing first on “which implant is used,” check “how the procedure is planned.”

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