Will the piggy-nose move come back after silicone removal? — when nose movement returns and why waiting is needed

01

What was the question?

It's the story of someone who had nose surgery with ear cartilage and silicone about 5 years ago.

• Over time, the fact that piggy-nose didn't work after nose surgery was uncomfortable, and disliking the nose shape too, the silicone was removed.
• At the first surgery, hearing there was a hump, they proceeded after filing the hump — after silicone removal, the filed hump area looked bluish then became bruise-like purple.
• The ear cartilage at the tip was left as is, hearing that "removing it could involve much bleeding and it's already adhered to tissue so organizing isn't easy."
• At first they decided removal hearing piggy-nose would be possible, but later heard "it won't fully work — it may only lift slightly," a confusing situation — the question's core was whether the current state is because it's early post-surgery, or whether piggy-nose is inherently hard even after silicone removal.

02

Why doesn't the nose move well even after silicone removal?

The current state may be a period where swelling and tissue change remain because enough time hasn't passed since surgery.

Right after surgery, tissue isn't in a stabilized state, so nose movement can feel limited. As swelling decreases and tissue settles in over time, the lifting movement can gradually become possible too.

However, such change can show differences by individual tissue state or surgery method. So rather than judging hastily at the current stage, a process of watching progress for at least 6 months or more and confirming how movement and nose state change is needed. If you're even considering revision after removal, judgment criteria can be viewed first in the revision guide.

03

How did a similar concern's correction case proceed?

Let's look together at a case (shared with model consent) corrected for nostril asymmetry and upturned-nose concerns.

• Pre-surgery state — tip length was short enough that nostrils showed relatively much from the front, and the bridge was low too — a flat impression. In profile the tip looked raised like an upturned nose, with nostril asymmetry appearing together. Having had filler treatment before, that was organized first before correction proceeded.
• Correction direction — wanting a natural, not-excessive bridge line, about 4mm of silicone was used; since the septum alone wasn't enough reinforcement, ear cartilage was additionally utilized. The weakly protruding hump mid-dorsum was smoothly filed, and the short tip was designed in the direction of securing length by reinforcing cartilage in several layers.
• Nostril asymmetry — the pre-surgery nostril size difference was an influence of septal deviation. Being a structural cause, there can be limits to making complete symmetry, but after correction it eased to where no large difference is felt visually.

Actual before/after changes can be confirmed in before/after photos.

04

Summary — judgment at least 6 months later

Even if the nose doesn't move as expected after silicone removal, judging it a failure right away is hard — because at a period where swelling and tissue change remain, movement can feel limited and can change with time. Watching progress for at least 6 months or more to confirm changes in movement and nose state, then judging the next step based on that change, is the order.

If curious what stage your nose state is at now, you can check in a 1:1 video consultation.