Revision after nasal silicone removal — how autologous tissue types differ: roles by material

01

What signals do silicone side effects appear as?

Problems after silicone nose surgery often begin not with major pain from the start but with small signals. If 2 or more of the items below apply, it’s the stage to review once whether to keep the silicone.

• The nose feels harder or stiffer than before when touched
• The tip feels pressed or pulled when smiling or talking
• The inside of the nose often throbbed or inflammation repeated
• The silicone contour shows through as skin thins
• A foreign-body or pressure sensation keeps bothering for no special reason
• The nose line looks increasingly awkward over time

These signals are often related to material reaction rather than design. At this stage, the direction after removal gets considered together.

02

What kinds of autologous implants are there?

When considering revision after silicone removal, many people look into autologous implants — but an autologous implant isn’t one material; it’s a concept divided by role and purpose.

In what order materials get examined in revision can also be seen in the revision guide.

03

What is RIBFIT™ Ribfit, the autologous rib particle implant?

The autologous rib particle implant isn’t a method using autologous rib cartilage as a whole chunk — it’s a method processed into particle form and designed to fit the patient’s state without silicone. This kind of approach has been mentioned a lot recently, but our clinic had already been applying the approach of particulating autologous rib cartilage under the name RIBFIT™ Ribfit before this method became known.

Organizing this method’s features gives the following.

• Composed of autologous tissue only, with no artificial implant
• Bridge design possible even without silicone
• Detailed shape adjustment via particle design rather than chunk cartilage
• An approach that considers deformation·warping burden versus conventional autologous rib cartilage
• Can proceed without an additional fascia harvest process

For these reasons, RIBFIT™ Ribfit is an approach focused on the design method more than on whether it’s used. Content on the procedure itself can be seen in more detail in the RIBFIT™ Ribfit autologous rib cartilage guide.

04

Why does the operator’s experience matter in rib cartilage harvest?

One important part in the autologous rib particle implant is the rib cartilage harvest process. Rib cartilage sits in a position close to the lung — without anatomical understanding and proficiency, the harvest process can lengthen and the burden can grow. With insufficient experience, harvest alone can take a long time.

Our clinic has focused on nose surgery for a long period and has repeatedly handled the autologous rib cartilage harvest process — harvest itself proceeds at about 15 minutes. The autologous rib particle implant, RIBFIT™ Ribfit too is explained and applied on top of the order of analyzing the nose state first, then deciding the material.

So RIBFIT™ Ribfit is a method where how and by what criteria it’s applied is explained together, more than the material name.

05

Summary — my nose’s state comes before material

Silicone side effects appear first as signals the body sends, autologous implants divide into several types by role, and autologous rib cartilage and the autologous rib particle implant differ in concept and application. If you’ve been through surgery once, the next choice naturally becoming cautious is natural. If considering revision after nasal silicone removal, it’s good to first organize which method fits your nose’s state before the material.

If curious which method fits the current nose state, you can confirm directly in a 1:1 video consultation.