What to do after a rhinoplasty implant pushes out

Solid silicone rubber prosthesis is the commonly used prosthesis for rhinoplasty. Too large and too long prosthesis and too hard prosthesis material are the main reasons for thinning of the skin of the tip of the nose and even wearing out of the prosthesis. Especially in the case of low nasal tip, nostrils facing the sky, physicians often try to increase the length and height of the prosthesis to correct, and with the passage of time, the prosthesis can be slipped, the prosthesis surface of the skin and subcutaneous tissues are overly compressed, resulting in ischemia of the tissues, the skin of the tip of the nose is thin, white, and the prosthesis can be seen in the contour of the skin, and even skin ulceration, resulting in the prosthesis is exposed. In the case of silicone prosthesis exposure, most need to remove the prosthesis through surgery, antibiotic flushing stripping cavity, the wound is generally not suitable for suture, pay attention to clear the local secretion, keep the wound clean and dry, oral or intravenous antibiotics, the wound can be healed by itself. If the wound secretion is more and the redness and swelling is intense, it is necessary to carry out the bacterial culture of the secretion, in order to target the use of antibiotic treatment. A few patients choose one side of the nasal margin incision approach for rhinoplasty, and the prosthesis can be found to be exposed in the early postoperative period, which is mostly caused by the incision damage during the operation or the roughness and sharpness of the carving of the side of the prosthesis column. In this case, if there is no obvious local infection, the exposed prosthesis can be trimmed and directly sutured to close the incision, and most of them can achieve one-stage healing.