Silicone Implant Deviated, Showing Through, and About to Extrude
The columella was also protruding forward.
The silicone implant sat in a shallow layer under the skin, so it showed through, and the tip cartilages were compressed and deformed.
Through an open approach, the silicone implant lying shallow under the skin was removed, a central strut was set up with septal cartilage, and tip plasty was performed. Gore-Tex was placed in a deep layer for the dorsum.
1 week after surgery.