Can Silicone, AlloDerm, and Donor Rib Cartilage Be Used in Contracted Nose Revision? — Feasibility and Side Effects to Know
2024. 2. 28.
Whether a contracted nose caused by previous surgery can be revised using silicone, AlloDerm, and donor rib cartilage — and what side effects should be known, organized as a Q&A from the answer notes.

Key points
- Revising a contracted nose caused by previous surgery is possible using silicone, AlloDerm, and donor rib cartilage.
- However, the side effects commonly discussed in revision rhinoplasty — inflammation, contracture, visible deviation, silicone show-through, tip show-through — can occur.
- So before settling on materials, the current state of the nose must be checked and the process of discussing which possibilities to allow for is needed.
"A contracted nose developed from my previous surgery — is it okay to put an implant back in?"
When researching how to re-operate a contracted nose, the first thing you run into is the question of materials. Since it's a site where a problem already occurred once, worry comes first about whether using the same silicone again is okay.
This article organizes that question and answer from the answer notes.
01
What was asked?
The questioner asked two things.
- A contracted nose developed from a previous surgery — can it be revised using silicone, AlloDerm, and donor rib cartilage
- And if possible, are there any side effects
In other words, it wasn't a question asking for a method from scratch — it was checking whether a material combination they'd already heard of could be used in their case too.
02
Can revision be done with that material combination?
Yes. A contracted nose can be revised using silicone, AlloDerm, and donor rib cartilage.
But "possible" doesn't mean "done the same way in every case." How materials are combined is judged after checking the nose's current state, so a plan can't be settled from material names alone. The characteristics of materials used in rhinoplasty are covered in the rhinoplasty materials guide, and what to check in revision is in the revision rhinoplasty guide.
03
What side effects should be known?
The commonly discussed side effects are as follows.
| Side effect | Description |
|---|---|
| Inflammation | Inflammation can occur at the surgical site |
| Contracture | Contracture can recur |
| Visible deviation | The nose may appear deviated |
| Silicone show-through | The implant's outline may show through |
| Tip show-through | The tip area may show through |
These possibilities existing doesn't mean revision can't be done — but when choosing materials, deciding with these possibilities on the table leads to a decision with less regret.
04
Summary — weigh feasibility and what to allow for together
Using silicone, AlloDerm, and donor rib cartilage in contracted nose revision is possible. At the same time, side effects like inflammation or re-contracture, visible deviation, and implant or tip show-through should be known alongside. Looking at both together is what makes the material choice a decision you can accept.
If you want to check which combination suits your nose's current state, you can ask first in a 1:1 video consultation.

Frequently asked questions
Responses to treatment and recovery progress vary by individual. Outcomes and side effects vary from person to person. Bleeding, infection, swelling and asymmetry may occur. Please consult our medical team before making a decision.