One week after nose surgery, when the result feels strange and disappointing — what to check before deciding on silicone removal·revision
2025. 8. 12.
A case of someone deliberating silicone removal because the result feels strange one week after upturned-nose surgery — why this period is before the shape has settled, why removal·revision can’t guarantee a return to the original face, plus swelling care and why thread lifting is hard to remove.

Key points
- One week post-surgery is a period when the nose shape hasn’t fully settled yet. Since swelling and shape are unstable, judging failure from strangeness at this point is hard.
- If the result still feels odd after time passes, then discuss revision·silicone removal sufficiently with your surgeon. But removal or revision can’t guarantee a 100% return to the original face.
- Thread-lifting methods (Hi-Ko etc.) are especially tricky to remove — careful judgment is needed from before the procedure.
“It’s been a week since my upturned-nose surgery, and every time I look in the mirror it feels strange and odd. If I remove all the silicone and cartilage, will I return to my original face? But I’m also scared it might look even stranger after removal.”
After surgery, worry comes along with expectations of change. Especially early on, swelling and shape changes confront you with a look different from expected, and the mind grows anxious — I often meet people voicing such anxiety in the exam room.
This article organizes — based on a real inquiry case — what to check before deciding on silicone removal·revision, for those going through a psychologically difficult period due to temporary post-surgery changes.
01
Strangeness at one week post-surgery — can it be judged a failure?
If about a week has passed since upturned-nose surgery, it’s a period when the nose shape hasn’t fully settled yet. Since swelling and shape are unstable at this point, what’s visible now can hardly be taken as the final result. What’s needed first is watching the progress over time.
To help ease swelling and recovery during this period, the following care may help.
- Keeping the head slightly elevated
- Consistent warm compresses
Still, if the result keeps feeling odd even after more time passes, then the order is to discuss revision or silicone removal sufficiently with the surgeon who operated on you.
02
Does removing the silicone return the original face?
This is the part to answer most carefully. Even with revision or silicone removal, a 100% return to the original face can’t be guaranteed.
So rather than deciding on removal out of anxiety, it’s advisable to watch the surgical progress a bit longer, then receive an accurate diagnosis and consultation before judging. Organizing the order of the decision:
| Timing | Judgment |
|---|---|
| Around 1 week post-surgery | A period when the shape hasn’t settled — watch progress first |
| Still feels odd after swelling subsides | Discuss revision·removal sufficiently with your surgeon |
| When deciding removal·revision | Judge after accurate diagnosis, premised on the fact that return to the original look can’t be guaranteed |
What to check when you end up reviewing revision is covered in more detail in the revision guide.
03
Why is thread-lift rhinoplasty hard to remove?
Unlike silicone, nose surgery using threads is far trickier to remove. In fact, many people come for consultation after removing threads because they weren’t satisfied with their rhinoplasty result.
The problem is that once inserted, threads often have a barbed form. Removing them one by one is quite tricky, and most are removed surgically. This process can burden the tissue inside the nose, and as surgical difficulty and risk rise accordingly, the cost can’t help but rise too.
Listening to people who got thread-lifting procedures like Hi-Ko, Miss-Ko or Bay-Ko, many say “I’ll first check the result with threads, then get real rhinoplasty later.” But the inside of the nose is a sensitive area of the body and the area is narrow, so even if the procedure looks simple, thread removal can become a very difficult process. If you’re considering thread-lift rhinoplasty, sufficiently careful judgment is needed from the start. How thread removal proceeds can be seen in the thread removal guide.
04
How is improvement done after thread removal?
After removing the threads, the nose’s state is re-diagnosed and whether reconstruction is needed is judged together. In this case, after removal we proceeded in the direction of supporting the tip with septal cartilage and adjusting the height.
05
Summary — what you need now may be time and diagnosis, not removal
The strangeness and anxiety right after surgery is a process many people go through. One week is a period when the shape hasn’t settled, so first watch the progress; if the result still feels odd after that, discuss it sufficiently with your surgeon. Removal·revision should be decided based on an accurate diagnosis, after understanding that a return to the original look can’t be guaranteed.
If you’re in a state hard to judge alone, you can hear an opinion on your current nose state in a 1:1 video consultation.




Frequently asked questions
Answers to common questions patients ask before a consultation.
It’s been a week since my nose surgery and the shape looks odd. Did it fail?
If I remove the silicone and cartilage, will I return to my pre-surgery face?
Aren’t thread procedures like Hi-Ko low-burden since you can remove them later?
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.