Silicone implants are still used in rhinoplasty today, but they're used more selectively than in the past, as cartilage-based techniques have become the preferred approach for many surgeons, including Dr. Kim, especially for patients with thinner skin or a desire for the most natural long-term result.
The main long-term consideration with silicone is that, because it's a rigid synthetic material rather than living tissue, it can be more prone to visibility, shifting, or extrusion (working its way toward the surface) over many years — particularly in patients with thin skin. This is one of the key reasons cartilage-based augmentation is generally recommended when a patient has enough of their own tissue available.
Consultation Tip
If you've previously had a silicone implant and are considering revision, mention this specifically — Dr. Kim will evaluate whether it should be replaced with your own cartilage during your revision surgery.
Ready to talk to Dr. Kim? Reach out on WhatsApp to book your video consultation: Chat with us on WhatsApp (+82 10-4434-6234)
— Dr. Hyung-taek Kim, KOWON Plastic Surgery