[Rhinoplasty with late-onset side effect to silicone implant]

Area of Science:

• Plastic Surgery
• Dermatology
• Pathology

Background:

• Silicone implants are commonly used in rhinoplasty.
• Complications from silicone implants can occur, but very late onset is rare.

Purpose of the Study:

• To report a case of a delayed foreign body reaction to a silicone nasal implant.
• To highlight a potential long-term complication of rhinoplasty with silicone augmentation.

Main Methods:

• Case report of a 75-year-old female patient.
• Clinical examination, punch biopsy, and patient history.
• Observation of inflammatory reaction and implant extrusion.

Main Results:

• A firm nasal tumor developed, initially showing inflammation without malignancy.
• After four months, an inflammatory reaction with pus and silicone extrusion occurred.
• The patient had a rhinoplasty with a silicone implant 43 years prior.

Conclusions:

• Silicone implants can cause foreign body reactions with very late onset.
• Delayed inflammatory reactions and extrusion are potential complications of long-term silicone implants in nasal surgery.