{"id":9499,"date":"2026-10-01T08:07:53","date_gmt":"2026-10-01T01:07:53","guid":{"rendered":"https:\/\/s45clinic.com\/?p=9499"},"modified":"2026-10-01T08:07:53","modified_gmt":"2026-10-01T01:07:53","slug":"silicone-extrusion-symptoms","status":"publish","type":"post","link":"https:\/\/s45clinic.com\/en\/silicone-extrusion-symptoms\/","title":{"rendered":"Silicone Nose Implant Extrusion Symptoms, 3 Stages to Check Before It Gets Worse and How to Treat It"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Many people who have had rhinoplasty worry about whether their silicone implant might push through the skin in the future, especially if they start to notice unusual signs such as a red nasal tip, thinning skin or a tingling feeling at the tip. Common searches include &#8220;what are the <strong>symptoms of silicone nose implant extrusion<\/strong>&#8221; and &#8220;is this happening to me?&#8221;<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Key points<\/strong><\/p>\n\n<ul class=\"wp-block-list\">\n<li><strong>Silicone nose implant extrusion<\/strong> is when a silicone implant placed during rhinoplasty pushes out through the skin of the nostril, nasal tip or nasal base. It is a complication that needs prompt treatment.<\/li>\n\n\n\n<li><strong>3 stages of extrusion:<\/strong> the early stage (implant outline showing, thin skin); the pre-extrusion stage (red tip, white spot); the extruded stage (implant visible through the skin)<\/li>\n\n\n\n<li><strong>5 main warning signs:<\/strong> an unusually shiny nasal tip; tingling when you touch the tip; a visible outline of the implant&#8217;s leg (the part that runs down to the nasal base); a nose that looks longer or droopier; unusual grooves or dents<\/li>\n\n\n\n<li><strong>Does a red nasal tip mean the implant will extrude?<\/strong> Not in every case, but it is a warning sign. If the redness keeps getting darker and you have other symptoms, see a doctor promptly.<\/li>\n\n\n\n<li><strong>People with thin nasal skin have a higher chance of extrusion<\/strong> because the skin can carry less of the implant&#8217;s pressure. Using a cartilage tip graft helps lower this chance.<\/li>\n\n\n\n<li><strong>Internal extrusion (into the nostril) vs external extrusion (at the tip)<\/strong> cause different symptoms. Both need treatment, but how urgent it is differs.<\/li>\n\n\n\n<li><strong>Treatment:<\/strong> the old silicone implant is removed and the wound is treated, then the nose is reshaped again with cartilage or a silicone implant of a suitable size.<\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\">This article covers <strong>nose implant extrusion symptoms<\/strong> in full, from what it is, the difference between internal and external extrusion, the 5 warning signs to look for and the 3 different stages of extrusion, to the symptoms of a red nasal tip, thin skin and a wound inside the nose, what causes extrusion, who has a higher chance, how it is treated once it has happened and how to prevent it. This helps you assess your own nose and decide to see a doctor in time.<\/p>\n\n<div class=\"wp-block-rank-math-toc-block\" id=\"rank-math-toc\"><h2>In This Article<\/h2><nav><ul><li><a href=\"#\u0e0b\u0e34\u0e25\u0e34\u0e42\u0e04\u0e19\u0e17\u0e30\u0e25\u0e38\u0e43\u0e19\u0e23\u0e39\u0e08\u0e21\u0e39\u0e01-\u0e04\u0e37\u0e2d\u0e2d\u0e30\u0e44\u0e23\">What Is Silicone Nose Implant Extrusion?<\/a><\/li><li><a href=\"#\u0e17\u0e30\u0e25\u0e38\u0e02\u0e49\u0e32\u0e07\u0e43\u0e19-vs-\u0e17\u0e30\u0e25\u0e38\u0e02\u0e49\u0e32\u0e07\u0e19\u0e2d\u0e01-\u0e15\u0e48\u0e32\u0e07\u0e01\u0e31\u0e19\u0e2d\u0e22\u0e48\u0e32\u0e07\u0e44\u0e23\">Internal vs External Extrusion, What Is the Difference?<\/a><\/li><li><a href=\"#5-\u0e2a\u0e31\u0e0d\u0e0d\u0e32\u0e13\u0e40\u0e15\u0e37\u0e2d\u0e19\u0e0b\u0e34\u0e25\u0e34\u0e42\u0e04\u0e19\u0e08\u0e30\u0e17\u0e30\u0e25\u0e38\">5 Warning Signs That a Silicone Implant May Extrude<\/a><\/li><li><a href=\"#3-\u0e23\u0e30\u0e22\u0e30\u0e02\u0e2d\u0e07\u0e01\u0e32\u0e23\u0e17\u0e30\u0e25\u0e38\u0e17\u0e35\u0e48\u0e15\u0e49\u0e2d\u0e07\u0e23\u0e39\u0e49\">3 Stages of Extrusion to Know<\/a><\/li><li><a href=\"#\u0e1b\u0e25\u0e32\u0e22\u0e08\u0e21\u0e39\u0e01\u0e41\u0e14\u0e07\u0e08\u0e30\u0e17\u0e30\u0e25\u0e38\u0e44\u0e2b\u0e21\">Does a Red Nasal Tip Mean the Implant Will Extrude?<\/a><\/li><li><a href=\"#\u0e1b\u0e25\u0e32\u0e22\u0e08\u0e21\u0e39\u0e01\u0e1a\u0e32\u0e07-\u0e14\u0e39\u0e22\u0e31\u0e07\u0e44\u0e07\">How to Tell If Your Nasal Tip Skin Is Thin<\/a><\/li><li><a href=\"#\u0e08\u0e21\u0e39\u0e01\u0e40\u0e1b\u0e47\u0e19\u0e41\u0e1c\u0e25\u0e14\u0e49\u0e32\u0e19\u0e43\u0e19-\u0e23\u0e39\u0e08\u0e21\u0e39\u0e01\">A Wound Inside the Nose or Nostril<\/a><\/li><li><a href=\"#\u0e02\u0e32\u0e0b\u0e34\u0e25\u0e34\u0e42\u0e04\u0e19\u0e42\u0e1c\u0e25\u0e48\u0e43\u0e19\u0e23\u0e39\u0e08\u0e21\u0e39\u0e01\">Silicone Implant Leg Showing in the Nostril<\/a><\/li><li><a href=\"#\u0e2a\u0e32\u0e40\u0e2b\u0e15\u0e38-5-\u0e02\u0e49\u0e2d\u0e17\u0e35\u0e48\u0e17\u0e33\u0e43\u0e2b\u0e49\u0e0b\u0e34\u0e25\u0e34\u0e42\u0e04\u0e19\u0e17\u0e30\u0e25\u0e38\">5 Causes of Silicone Implant Extrusion<\/a><\/li><li><a href=\"#\u0e40\u0e19\u0e37\u0e49\u0e2d\u0e08\u0e21\u0e39\u0e01\u0e1a\u0e32\u0e07\u0e40\u0e2a\u0e35\u0e48\u0e22\u0e07\u0e17\u0e30\u0e25\u0e38\u0e21\u0e32\u0e01\u0e01\u0e27\u0e48\u0e32\u0e08\u0e23\u0e34\u0e07\u0e44\u0e2b\u0e21\">Does Thin Nasal Skin Really Have a Higher Chance of Extrusion?<\/a><\/li><li><a href=\"#\u0e0b\u0e34\u0e25\u0e34\u0e42\u0e04\u0e19\u0e08\u0e21\u0e39\u0e01\u0e17\u0e30\u0e25\u0e38-\u0e41\u0e01\u0e49\u0e44\u0e02\u0e44\u0e14\u0e49\u0e2d\u0e22\u0e48\u0e32\u0e07\u0e44\u0e23\">How Is Silicone Nose Implant Extrusion Treated?<\/a><\/li><li><a href=\"#\u0e27\u0e34\u0e18\u0e35\u0e1b\u0e49\u0e2d\u0e07\u0e01\u0e31\u0e19\u0e44\u0e21\u0e48\u0e43\u0e2b\u0e49\u0e0b\u0e34\u0e25\u0e34\u0e42\u0e04\u0e19\u0e17\u0e30\u0e25\u0e38\">How to Prevent Silicone Implant Extrusion<\/a><\/li><li><a href=\"#\u0e17\u0e33\u0e44\u0e21\u0e40\u0e25\u0e37\u0e2d\u0e01\u0e23\u0e31\u0e01\u0e29\u0e32\u0e08\u0e21\u0e39\u0e01\u0e17\u0e30\u0e25\u0e38\u0e17\u0e35\u0e48-s45-clinic\">Why Choose S45 Clinic for Implant Extrusion Treatment<\/a><\/li><li><a href=\"#faq-\u0e04\u0e33\u0e16\u0e32\u0e21\u0e17\u0e35\u0e48\u0e1e\u0e1a\u0e1a\u0e48\u0e2d\u0e22\u0e40\u0e01\u0e35\u0e48\u0e22\u0e27\u0e01\u0e31\u0e1a\u0e0b\u0e34\u0e25\u0e34\u0e42\u0e04\u0e19\u0e17\u0e30\u0e25\u0e38\">FAQ About Silicone Implant Extrusion<\/a><\/li><li><a href=\"#\u0e2a\u0e23\u0e38\u0e1b\">Summary<\/a><\/li><\/ul><\/nav><\/div>\n\n<h2 id=\"&#xE0B;&#xE34;&#xE25;&#xE34;&#xE42;&#xE04;&#xE19;&#xE17;&#xE30;&#xE25;&#xE38;&#xE43;&#xE19;&#xE23;&#xE39;&#xE08;&#xE21;&#xE39;&#xE01;-&#xE04;&#xE37;&#xE2D;&#xE2D;&#xE30;&#xE44;&#xE23;\" class=\"wp-block-heading\"><strong>What Is Silicone Nose Implant Extrusion?<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\"><strong>Silicone nose implant extrusion<\/strong>, or <strong>implant extrusion<\/strong>, is a complication in which a silicone implant placed during rhinoplasty slowly pushes through the layers of skin to the outside. The places where it most often happens are the nasal tip, the base of the columella (the strip of skin between the nostrils) and the inside of the nostril, depending on where the skin is thin and cannot carry the pressure.<\/p>\n\n<p class=\"wp-block-paragraph\">It does not happen suddenly. It develops slowly over months or years, starting with skin that gets thinner and thinner until the tissue can no longer carry the pressure and tears, letting the implant show through. Severity ranges from a small area of implant showing to a clear extrusion.<\/p>\n\n<p class=\"wp-block-paragraph\">Although it is not a common complication, it needs prompt treatment when it happens, because if it is left untreated it can lead to infection, permanent damage to the skin and more difficult rhinoplasty in the future.<\/p>\n\n<h3 id=\"&#xE01;&#xE25;&#xE44;&#xE01;&#xE02;&#xE2D;&#xE07;&#xE01;&#xE32;&#xE23;&#xE17;&#xE30;&#xE25;&#xE38;\" class=\"wp-block-heading\"><strong>How Extrusion Happens<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">The implant inside the nose slowly presses on the surrounding tissue. Over time, that tissue gets thinner, especially where the pressure is greatest. When the tissue becomes critically thin, a small tear forms and gradually widens until the implant shows through.<\/p>\n\n<h3 id=\"&#xE1A;&#xE23;&#xE34;&#xE40;&#xE27;&#xE13;&#xE17;&#xE35;&#xE48;&#xE1E;&#xE1A;&#xE01;&#xE32;&#xE23;&#xE17;&#xE30;&#xE25;&#xE38;&#xE44;&#xE14;&#xE49;&#xE1A;&#xE48;&#xE2D;&#xE22;\" class=\"wp-block-heading\"><strong>Where Extrusion Most Often Happens<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li><strong>Nasal tip:<\/strong> a common place, because it carries the implant&#8217;s pressure all the time<\/li>\n\n\n\n<li><strong>Base of the columella:<\/strong> the area between the nostrils, in cases where the implant is too long<\/li>\n\n\n\n<li><strong>Inside the nostril:<\/strong> in cases where the implant has moved down and inwards<\/li>\n\n\n\n<li><strong>Nasal bridge:<\/strong> uncommon, in cases where the implant is far too large<\/li>\n<\/ul>\n\n<h3 id=\"&#xE17;&#xE33;&#xE44;&#xE21;&#xE0B;&#xE34;&#xE25;&#xE34;&#xE42;&#xE04;&#xE19;&#xE16;&#xE36;&#xE07;&#xE17;&#xE30;&#xE25;&#xE38;\" class=\"wp-block-heading\"><strong>Why Silicone Implants Extrude<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">The main cause is not the silicone itself but other factors, such as an implant that is too large for the original nasal tissue, poor placement, an injury to the nose, or nasal skin that thins with age. Understanding the causes can help prevent extrusion in people who do not have it yet.<\/p>\n\n<p class=\"wp-block-paragraph\">See more about a nasal tip close to extrusion in<a href=\"https:\/\/s45clinic.com\/en\/nose-perforation-symptoms\/\"> nose implant extrusion symptoms<\/a> to understand the early warning signs.<\/p>\n\n<h2 id=\"&#xE17;&#xE30;&#xE25;&#xE38;&#xE02;&#xE49;&#xE32;&#xE07;&#xE43;&#xE19;-vs-&#xE17;&#xE30;&#xE25;&#xE38;&#xE02;&#xE49;&#xE32;&#xE07;&#xE19;&#xE2D;&#xE01;-&#xE15;&#xE48;&#xE32;&#xE07;&#xE01;&#xE31;&#xE19;&#xE2D;&#xE22;&#xE48;&#xE32;&#xE07;&#xE44;&#xE23;\" class=\"wp-block-heading\"><strong>Internal vs External Extrusion, What Is the Difference?<\/strong><\/h2>\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1980\" height=\"1080\" src=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/07\/silicone-protrusion-nostril-inside-vs-outside.webp\" alt=\"Silicone nose implant extrusion, internal vs external\" class=\"wp-image-7485\" srcset=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/07\/silicone-protrusion-nostril-inside-vs-outside.webp 1980w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/07\/silicone-protrusion-nostril-inside-vs-outside-450x245.webp 450w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/07\/silicone-protrusion-nostril-inside-vs-outside-1080x589.webp 1080w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/07\/silicone-protrusion-nostril-inside-vs-outside-768x419.webp 768w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/07\/silicone-protrusion-nostril-inside-vs-outside-1536x838.webp 1536w\" sizes=\"auto, (max-width: 1980px) 100vw, 1980px\" \/><\/figure>\n<\/div>\n<p class=\"wp-block-paragraph\">Many people use the terms &#8216;internal extrusion&#8217; and &#8216;external extrusion&#8217; interchangeably, which causes confusion. In fact, they are different conditions in where they happen, their symptoms and how they are treated. Understanding the difference helps you describe the problem accurately to a doctor and choose suitable treatment.<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Internal extrusion<\/strong> means the implant pushes into the nasal cavity. You may notice it when you look inside your nostril or when your breathing feels unusual. <strong>External extrusion<\/strong> means the implant pushes out on the outside of the face, clearly visible as a small spot on the tip or bridge of the nose.<\/p>\n\n<p class=\"wp-block-paragraph\">Both are complications that need treatment, but how urgent they are and how they are treated differ.<\/p>\n\n<h3 id=\"&#xE17;&#xE30;&#xE25;&#xE38;&#xE02;&#xE49;&#xE32;&#xE07;&#xE43;&#xE19;-internal-extrusion\" class=\"wp-block-heading\"><strong>Internal Extrusion<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li><strong>Location:<\/strong> in the nasal cavity, inside the nostril<\/li>\n\n\n\n<li><strong>Symptoms:<\/strong> clear fluid or yellowish discharge from the nose; unusual bleeding; a feeling of a sore inside the nose; difficulty breathing; feeling the implant when you touch the inside<\/li>\n\n\n\n<li><strong>Usually seen:<\/strong> when a doctor examines the inside of the nostril with a scope<\/li>\n\n\n\n<li><strong>Urgency:<\/strong> very high, because of the chance of infection in the nasal cavity<\/li>\n\n\n\n<li><strong>Treatment:<\/strong> removing the implant through the original incision and treating the wound inside the nostril<\/li>\n<\/ul>\n\n<h3 id=\"&#xE17;&#xE30;&#xE25;&#xE38;&#xE02;&#xE49;&#xE32;&#xE07;&#xE19;&#xE2D;&#xE01;-external-extrusion\" class=\"wp-block-heading\"><strong>External Extrusion<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li><strong>Location:<\/strong> nasal tip, base of the columella<\/li>\n\n\n\n<li><strong>Symptoms:<\/strong> a white spot or the implant showing at the nasal tip; thin or torn skin in that area; a stinging or tingling feeling<\/li>\n\n\n\n<li><strong>Usually seen:<\/strong> with the naked eye, in a mirror<\/li>\n\n\n\n<li><strong>Urgency:<\/strong> very high, because an open wound on the outside has a chance of infection<\/li>\n\n\n\n<li><strong>Treatment:<\/strong> removing the implant, treating the wound on the outside and reshaping the nose again with a different material<\/li>\n<\/ul>\n\n<h3 id=\"&#xE15;&#xE32;&#xE23;&#xE32;&#xE07;&#xE40;&#xE1B;&#xE23;&#xE35;&#xE22;&#xE1A;&#xE40;&#xE17;&#xE35;&#xE22;&#xE1A;\" class=\"wp-block-heading\"><strong>Comparison Table<\/strong><\/h3>\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>Feature<\/strong><\/td><td><strong>Internal extrusion<\/strong><\/td><td><strong>External extrusion<\/strong><\/td><\/tr><tr><td><strong>Location<\/strong><\/td><td>In the nasal cavity<\/td><td>Outside, at the tip or base of the nose<\/td><\/tr><tr><td><strong>Visible symptoms<\/strong><\/td><td>Discharge or a sore inside<\/td><td>White spot or implant showing<\/td><\/tr><tr><td><strong>Visible to the naked eye<\/strong><\/td><td>No<\/td><td>Yes<\/td><\/tr><tr><td><strong>Chance of infection<\/strong><\/td><td>Very high<\/td><td>High<\/td><\/tr><tr><td><strong>Treatment complexity<\/strong><\/td><td>Moderate<\/td><td>High<\/td><\/tr><\/tbody><\/table><\/figure>\n\n<h2 id=\"5-&#xE2A;&#xE31;&#xE0D;&#xE0D;&#xE32;&#xE13;&#xE40;&#xE15;&#xE37;&#xE2D;&#xE19;&#xE0B;&#xE34;&#xE25;&#xE34;&#xE42;&#xE04;&#xE19;&#xE08;&#xE30;&#xE17;&#xE30;&#xE25;&#xE38;\" class=\"wp-block-heading\"><strong>5 Warning Signs That a Silicone Implant May Extrude<\/strong><\/h2>\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1980\" height=\"1080\" src=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/07\/silicone-protrusion-nostril-warning-signs.webp\" alt=\"Silicone nose implant extrusion warning signs\" class=\"wp-image-7486\" srcset=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/07\/silicone-protrusion-nostril-warning-signs.webp 1980w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/07\/silicone-protrusion-nostril-warning-signs-450x245.webp 450w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/07\/silicone-protrusion-nostril-warning-signs-1080x589.webp 1080w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/07\/silicone-protrusion-nostril-warning-signs-768x419.webp 768w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/07\/silicone-protrusion-nostril-warning-signs-1536x838.webp 1536w\" sizes=\"auto, (max-width: 1980px) 100vw, 1980px\" \/><\/figure>\n<\/div>\n<p class=\"wp-block-paragraph\">Before a silicone implant clearly extrudes, there are often 5 warning signs. Noticing them and seeing a doctor in time can help stop extrusion from happening and makes treatment easier.<\/p>\n\n<p class=\"wp-block-paragraph\">Some of these signs are so minor that many people overlook them, such as just a tingling feeling at the nasal tip, but they are in fact an important early warning. Check your nose regularly after rhinoplasty, especially if you had it many years ago.<\/p>\n\n<h3 id=\"1-&#xE1B;&#xE25;&#xE32;&#xE22;&#xE08;&#xE21;&#xE39;&#xE01;&#xE2A;&#xE30;&#xE17;&#xE49;&#xE2D;&#xE19;&#xE41;&#xE2A;&#xE07;&#xE21;&#xE32;&#xE01;&#xE01;&#xE27;&#xE48;&#xE32;&#xE2A;&#xE48;&#xE27;&#xE19;&#xE2D;&#xE37;&#xE48;&#xE19;\" class=\"wp-block-heading\"><strong>1. The Nasal Tip Is Shinier Than the Rest of the Nose<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>The skin on the nasal tip looks unusually shiny.<\/li>\n\n\n\n<li>It reflects light noticeably in photos.<\/li>\n\n\n\n<li>This shows that the tissue at the tip is starting to thin and stretch.<\/li>\n\n\n\n<li>It is most visible in bright light.<\/li>\n<\/ul>\n\n<h3 id=\"2-&#xE25;&#xE39;&#xE1A;&#xE1B;&#xE25;&#xE32;&#xE22;&#xE08;&#xE21;&#xE39;&#xE01;&#xE41;&#xE25;&#xE49;&#xE27;&#xE23;&#xE39;&#xE49;&#xE2A;&#xE36;&#xE01;&#xE40;&#xE2A;&#xE35;&#xE22;&#xE27;\" class=\"wp-block-heading\"><strong>2. Touching the Nasal Tip Causes a Tingling Feeling<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>Touching the tip lightly feels strange.<\/li>\n\n\n\n<li>It feels similar to the sharp sensitivity you can get in your teeth.<\/li>\n\n\n\n<li>This suggests the nerves are under unusual pressure.<\/li>\n\n\n\n<li>It is an early sign that many people overlook.<\/li>\n<\/ul>\n\n<h3 id=\"3-&#xE40;&#xE2B;&#xE47;&#xE19;&#xE40;&#xE07;&#xE32;&#xE0B;&#xE34;&#xE25;&#xE34;&#xE42;&#xE04;&#xE19;&#xE2B;&#xE23;&#xE37;&#xE2D;&#xE02;&#xE32;&#xE0B;&#xE34;&#xE25;&#xE34;&#xE42;&#xE04;&#xE19;&#xE0A;&#xE31;&#xE14;&#xE02;&#xE36;&#xE49;&#xE19;\" class=\"wp-block-heading\"><strong>3. The Outline of the Implant or Its Leg Becomes More Visible<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>You can see the shape of the implant through the skin.<\/li>\n\n\n\n<li>It is clearer in bright light than before.<\/li>\n\n\n\n<li>You can see both the lines and the edges of the implant.<\/li>\n\n\n\n<li>This shows the skin is thinning across the whole area.<\/li>\n<\/ul>\n\n<h3 id=\"4-&#xE08;&#xE21;&#xE39;&#xE01;&#xE22;&#xE32;&#xE27;&#xE2B;&#xE23;&#xE37;&#xE2D;&#xE07;&#xE38;&#xE49;&#xE21;&#xE25;&#xE07;&#xE01;&#xE27;&#xE48;&#xE32;&#xE40;&#xE14;&#xE34;&#xE21;\" class=\"wp-block-heading\"><strong>4. The Nose Looks Longer or Droopier Than Before<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>The shape of the nose has changed from how it used to be.<\/li>\n\n\n\n<li>The nasal tip looks lower or droopier.<\/li>\n\n\n\n<li>This suggests the implant is moving or the skin can no longer carry its weight.<\/li>\n\n\n\n<li>You can notice it by comparing with older photos.<\/li>\n<\/ul>\n\n<h3 id=\"5-&#xE21;&#xE35;&#xE23;&#xE48;&#xE2D;&#xE07;&#xE2B;&#xE23;&#xE37;&#xE2D;&#xE23;&#xE2D;&#xE22;&#xE1A;&#xE38;&#xE4B;&#xE21;&#xE1C;&#xE34;&#xE14;&#xE1B;&#xE01;&#xE15;&#xE34;\" class=\"wp-block-heading\"><strong>5. Unusual Grooves or Dents<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>Grooves start to form around the implant.<\/li>\n\n\n\n<li>The skin over the implant starts to separate.<\/li>\n\n\n\n<li>This suggests the skin is starting to tear.<\/li>\n\n\n\n<li>This is the stage close to extrusion and needs prompt treatment.<\/li>\n<\/ul>\n\n<h3 id=\"&#xE2B;&#xE32;&#xE01;&#xE1E;&#xE1A;&#xE2A;&#xE31;&#xE0D;&#xE0D;&#xE32;&#xE13;&#xE40;&#xE2B;&#xE25;&#xE48;&#xE32;&#xE19;&#xE35;&#xE49;&#xE04;&#xE27;&#xE23;&#xE17;&#xE33;&#xE2D;&#xE22;&#xE48;&#xE32;&#xE07;&#xE44;&#xE23;\" class=\"wp-block-heading\"><strong>What to Do If You Notice These Signs<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>Do not wait until the implant clearly extrudes.<\/li>\n\n\n\n<li>Take photos to keep for comparison.<\/li>\n\n\n\n<li>Book an appointment with an experienced surgeon within 1 to 2 weeks.<\/li>\n\n\n\n<li>Do not press or massage the area.<\/li>\n\n\n\n<li>Do not try to push the implant back yourself.<\/li>\n<\/ul>\n\n<h2 id=\"3-&#xE23;&#xE30;&#xE22;&#xE30;&#xE02;&#xE2D;&#xE07;&#xE01;&#xE32;&#xE23;&#xE17;&#xE30;&#xE25;&#xE38;&#xE17;&#xE35;&#xE48;&#xE15;&#xE49;&#xE2D;&#xE07;&#xE23;&#xE39;&#xE49;\" class=\"wp-block-heading\"><strong>3 Stages of Extrusion to Know<\/strong><\/h2>\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1980\" height=\"1080\" src=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/07\/silicone-protrusion-nostril-stages.webp\" alt=\"Silicone nose implant extrusion stages\" class=\"wp-image-7487\" srcset=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/07\/silicone-protrusion-nostril-stages.webp 1980w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/07\/silicone-protrusion-nostril-stages-450x245.webp 450w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/07\/silicone-protrusion-nostril-stages-1080x589.webp 1080w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/07\/silicone-protrusion-nostril-stages-768x419.webp 768w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/07\/silicone-protrusion-nostril-stages-1536x838.webp 1536w\" sizes=\"auto, (max-width: 1980px) 100vw, 1980px\" \/><\/figure>\n<\/div>\n<p class=\"wp-block-paragraph\">Silicone implant extrusion does not happen suddenly. It develops in <strong>3 stages<\/strong>, from the early stage to clear extrusion. Knowing which stage you are at helps you decide how quickly to act, and treatment differs at each stage.<\/p>\n\n<p class=\"wp-block-paragraph\">The early and middle stages are when treatment is easier and results tend to be good, although results depend on each person. If it is found at these stages, the implant can be removed and the nose reshaped again before the skin is badly damaged. Once the implant has extruded, the wound has to heal before the nose can be reshaped again, which takes longer and carries a higher chance of problems.<\/p>\n\n<p class=\"wp-block-paragraph\">Check your symptoms against each stage.<\/p>\n\n<h3 id=\"&#xE23;&#xE30;&#xE22;&#xE30;&#xE17;&#xE35;&#xE48;-1-&#xE23;&#xE30;&#xE22;&#xE30;&#xE40;&#xE23;&#xE34;&#xE48;&#xE21;&#xE15;&#xE49;&#xE19;-early-stage\" class=\"wp-block-heading\"><strong>Stage 1, the Early Stage<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>The skin over the implant starts to thin slightly.<\/li>\n\n\n\n<li>You can see the implant&#8217;s outline through the skin in strong light (the silicone shows through).<\/li>\n\n\n\n<li>The nasal tip is shinier than usual.<\/li>\n\n\n\n<li>You do not feel any pain or discomfort yet.<\/li>\n\n\n\n<li>There is a slight tingling feeling when you touch the tip.<\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\"><strong>Treatment at this stage:<\/strong> filler injections to add thickness to the skin; replacing the implant with a smaller one; adding a cartilage tip graft<\/p>\n\n<h3 id=\"&#xE23;&#xE30;&#xE22;&#xE30;&#xE17;&#xE35;&#xE48;-2-&#xE23;&#xE30;&#xE22;&#xE30;&#xE01;&#xE48;&#xE2D;&#xE19;&#xE17;&#xE30;&#xE25;&#xE38;-pre-extrusion\" class=\"wp-block-heading\"><strong>Stage 2, Pre-Extrusion<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>The skin is clearly thin, and you can see the implant through it up close.<\/li>\n\n\n\n<li>The nasal tip is red or has a white spot.<\/li>\n\n\n\n<li>Grooves or dents start to form at the tip.<\/li>\n\n\n\n<li>There is pain or stinging at times.<\/li>\n\n\n\n<li>The skin feels unusually tight.<\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\"><strong>Treatment at this stage:<\/strong> the implant needs to be removed within 1 to 2 weeks; the skin is treated until it is healthy and strong again before the nose is reshaped again; the technique is changed to use your own cartilage<\/p>\n\n<h3 id=\"&#xE23;&#xE30;&#xE22;&#xE30;&#xE17;&#xE35;&#xE48;-3-&#xE23;&#xE30;&#xE22;&#xE30;&#xE17;&#xE30;&#xE25;&#xE38;&#xE41;&#xE25;&#xE49;&#xE27;-extruded\" class=\"wp-block-heading\"><strong>Stage 3, Extruded<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>The implant has come out through the skin.<\/li>\n\n\n\n<li>There is an open wound, and the implant is clearly visible.<\/li>\n\n\n\n<li>There is yellowish discharge or bleeding.<\/li>\n\n\n\n<li>It is painful and stings.<\/li>\n\n\n\n<li>There is a high chance of infection.<\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\"><strong>Treatment at this stage:<\/strong> the implant needs to be removed straight away; the wound must heal fully before the nose is reshaped again (wait 3 to 6 months); these cases often need reshaping with rib cartilage<\/p>\n\n<h2 id=\"&#xE1B;&#xE25;&#xE32;&#xE22;&#xE08;&#xE21;&#xE39;&#xE01;&#xE41;&#xE14;&#xE07;&#xE08;&#xE30;&#xE17;&#xE30;&#xE25;&#xE38;&#xE44;&#xE2B;&#xE21;\" class=\"wp-block-heading\"><strong>Does a Red Nasal Tip Mean the Implant Will Extrude?<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">The question &#8220;<strong>does a red nasal tip mean the implant will extrude?<\/strong>&#8221; worries many people when they notice their nasal tip becoming unusually red. The answer is <strong>not every case extrudes<\/strong>, but it is a warning sign to take seriously.<\/p>\n\n<p class=\"wp-block-paragraph\">A red nasal tip can have several causes, including harmless temporary ones such as cold weather or alcohol, and harmful ones such as thin skin or an implant starting to push out. Telling these causes apart helps you make the right decision.<\/p>\n\n<p class=\"wp-block-paragraph\">Check which type of red nasal tip you have.<\/p>\n\n<h3 id=\"&#xE1B;&#xE25;&#xE32;&#xE22;&#xE08;&#xE21;&#xE39;&#xE01;&#xE41;&#xE14;&#xE07;&#xE17;&#xE35;&#xE48;&#xE44;&#xE21;&#xE48;&#xE2D;&#xE31;&#xE19;&#xE15;&#xE23;&#xE32;&#xE22;\" class=\"wp-block-heading\"><strong>A Red Nasal Tip That Is Not Harmful<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>red only in cold weather<\/li>\n\n\n\n<li>red after drinking alcohol<\/li>\n\n\n\n<li>red when sweating or hot<\/li>\n\n\n\n<li>red only in the first 1 to 3 months after surgery<\/li>\n\n\n\n<li>goes back to normal once the cause goes away<\/li>\n<\/ul>\n\n<h3 id=\"&#xE1B;&#xE25;&#xE32;&#xE22;&#xE08;&#xE21;&#xE39;&#xE01;&#xE41;&#xE14;&#xE07;&#xE17;&#xE35;&#xE48;&#xE40;&#xE1B;&#xE47;&#xE19;&#xE2A;&#xE31;&#xE0D;&#xE0D;&#xE32;&#xE13;&#xE40;&#xE15;&#xE37;&#xE2D;&#xE19;\" class=\"wp-block-heading\"><strong>A Red Nasal Tip That Is a Warning Sign<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>red all the time and does not go away<\/li>\n\n\n\n<li>getting darker and darker<\/li>\n\n\n\n<li>red together with thin skin<\/li>\n\n\n\n<li>red together with a tingling feeling when touched<\/li>\n\n\n\n<li>so red that it starts to show a white or dark spot<\/li>\n\n\n\n<li>red together with a lump or raised bulge<\/li>\n<\/ul>\n\n<h3 id=\"&#xE40;&#xE21;&#xE37;&#xE48;&#xE2D;&#xE44;&#xE2B;&#xE23;&#xE48;&#xE15;&#xE49;&#xE2D;&#xE07;&#xE23;&#xE35;&#xE1A;&#xE1E;&#xE1A;&#xE41;&#xE1E;&#xE17;&#xE22;&#xE4C;\" class=\"wp-block-heading\"><strong>When to See a Doctor Promptly<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>the tip starts to turn dark or black (a sign of poor blood supply)<\/li>\n\n\n\n<li>a clear white or yellow spot<\/li>\n\n\n\n<li>redness with pain<\/li>\n\n\n\n<li>the skin at the tip starts to tear or shows scratch-like marks<\/li>\n\n\n\n<li>yellowish discharge or bleeding<\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\">See more about a red nasal tip that may lead to thin skin in<a href=\"https:\/\/s45clinic.com\/en\/rhinoplasty-silicone-coming-out\/\"> over-projected nasal tip and thin skin<\/a>.<\/p>\n\n<h2 id=\"&#xE1B;&#xE25;&#xE32;&#xE22;&#xE08;&#xE21;&#xE39;&#xE01;&#xE1A;&#xE32;&#xE07;-&#xE14;&#xE39;&#xE22;&#xE31;&#xE07;&#xE44;&#xE07;\" class=\"wp-block-heading\"><strong>How to Tell If Your Nasal Tip Skin Is Thin<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">The search &#8220;<strong>how to tell if your nasal tip skin is thin<\/strong>&#8221; reflects the worry of people who wonder whether the skin on their nose is too thin. A basic self-check helps you know whether it is time to see a doctor.<\/p>\n\n<p class=\"wp-block-paragraph\">Thin nasal tip skin ranges from slightly thin, which is not yet harmful, to so thin that there is a chance of extrusion. Noticing the signs of thinning helps you deal with it before the problem gets worse.<\/p>\n\n<p class=\"wp-block-paragraph\">Check yourself using these 5 methods.<\/p>\n\n<h3 id=\"1-&#xE21;&#xE2D;&#xE07;&#xE08;&#xE32;&#xE01;&#xE14;&#xE49;&#xE32;&#xE19;&#xE02;&#xE49;&#xE32;&#xE07;&#xE43;&#xE19;&#xE41;&#xE2A;&#xE07;&#xE08;&#xE31;&#xE14;\" class=\"wp-block-heading\"><strong>1. Look From the Side in Strong Light<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Take a photo from the side in bright light. If you can see the shadow of the implant through the skin, the skin is starting to thin. A nasal tip with enough tissue has an even thickness that light does not pass through.<\/p>\n\n<h3 id=\"2-&#xE2A;&#xE31;&#xE21;&#xE1C;&#xE31;&#xE2A;&#xE40;&#xE17;&#xE35;&#xE22;&#xE1A;&#xE01;&#xE31;&#xE1A;&#xE2A;&#xE31;&#xE19;&#xE08;&#xE21;&#xE39;&#xE01;\" class=\"wp-block-heading\"><strong>2. Compare the Feel With the Nasal Bridge<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>Use your finger to touch the tip and the bridge of your nose and compare them.<\/li>\n\n\n\n<li>If the tip is thin and feels like you are touching the implant directly, the skin is thin.<\/li>\n\n\n\n<li>If the tip and bridge feel about the same thickness, this is normal.<\/li>\n<\/ul>\n\n<h3 id=\"3-&#xE2A;&#xE31;&#xE07;&#xE40;&#xE01;&#xE15;&#xE01;&#xE32;&#xE23;&#xE2A;&#xE30;&#xE17;&#xE49;&#xE2D;&#xE19;&#xE41;&#xE2A;&#xE07;\" class=\"wp-block-heading\"><strong>3. Look at How the Skin Reflects Light<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>A thin tip looks shinier than the rest of the nose.<\/li>\n\n\n\n<li>In bright light, the tip seems to change colour depending on the angle of the light.<\/li>\n\n\n\n<li>A tip of normal thickness reflects light evenly with the bridge.<\/li>\n<\/ul>\n\n<h3 id=\"4-&#xE40;&#xE0A;&#xE47;&#xE01;&#xE2A;&#xE35;&#xE1C;&#xE34;&#xE27;\" class=\"wp-block-heading\"><strong>4. Check the Skin Colour<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>A thin tip may look paler or turn pinkish-red.<\/li>\n\n\n\n<li>A tip of normal thickness is the same colour as the skin around it.<\/li>\n\n\n\n<li>A change of colour at the tip only is a warning sign.<\/li>\n<\/ul>\n\n<h3 id=\"5-&#xE16;&#xE48;&#xE32;&#xE22;&#xE23;&#xE39;&#xE1B;&#xE40;&#xE1B;&#xE23;&#xE35;&#xE22;&#xE1A;&#xE40;&#xE17;&#xE35;&#xE22;&#xE1A;\" class=\"wp-block-heading\"><strong>5. Take Comparison Photos<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>Take a photo of the tip in the same light as one from 6 months ago.<\/li>\n\n\n\n<li>Compare them to see whether anything has changed.<\/li>\n\n\n\n<li>If the skin looks clearly thinner than before, the thinning is progressing.<\/li>\n<\/ul>\n\n<h3 id=\"&#xE23;&#xE30;&#xE14;&#xE31;&#xE1A;&#xE04;&#xE27;&#xE32;&#xE21;&#xE1A;&#xE32;&#xE07;&#xE17;&#xE35;&#xE48;&#xE15;&#xE48;&#xE32;&#xE07;&#xE01;&#xE31;&#xE19;\" class=\"wp-block-heading\"><strong>Different Levels of Thinning<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li><strong>Slightly thin:<\/strong> the implant&#8217;s shadow shows in strong light at some angles, so keep an eye on it<\/li>\n\n\n\n<li><strong>Moderately thin:<\/strong> the shadow shows in everyday life, so see a doctor for an assessment<\/li>\n\n\n\n<li><strong>Very thin:<\/strong> the implant is clearly visible, with tingling or redness, so it needs prompt treatment<\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\">See more about<a href=\"https:\/\/s45clinic.com\/en\/thin-nose-texture-rhinoplasty\/\"> thin nasal skin<\/a> cases and the treatment options for them.<\/p>\n\n<h2 id=\"&#xE08;&#xE21;&#xE39;&#xE01;&#xE40;&#xE1B;&#xE47;&#xE19;&#xE41;&#xE1C;&#xE25;&#xE14;&#xE49;&#xE32;&#xE19;&#xE43;&#xE19;-&#xE23;&#xE39;&#xE08;&#xE21;&#xE39;&#xE01;\" class=\"wp-block-heading\"><strong>A Wound Inside the Nose or Nostril<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\"><strong>A wound inside the nose<\/strong>, or a sore inside the nostril, is a symptom many people search for because it can be confused with other nose conditions. Telling them apart helps you know whether it is related to internal implant extrusion or to another problem.<\/p>\n\n<p class=\"wp-block-paragraph\">Sores inside the nose have several causes, from simple irritation and infection to internal implant extrusion. Finding the cause requires a doctor to examine the inside of the nostril with a scope.<\/p>\n\n<p class=\"wp-block-paragraph\">If you have had rhinoplasty and have a sore inside your nostril that is slow to heal, consider whether it could be a symptom of internal implant extrusion.<\/p>\n\n<h3 id=\"&#xE2D;&#xE32;&#xE01;&#xE32;&#xE23;&#xE41;&#xE1C;&#xE25;&#xE43;&#xE19;&#xE08;&#xE21;&#xE39;&#xE01;&#xE17;&#xE35;&#xE48;&#xE2D;&#xE32;&#xE08;&#xE40;&#xE01;&#xE35;&#xE48;&#xE22;&#xE27;&#xE01;&#xE31;&#xE1A;&#xE0B;&#xE34;&#xE25;&#xE34;&#xE42;&#xE04;&#xE19;\" class=\"wp-block-heading\"><strong>Symptoms of a Sore Inside the Nose That May Be Related to the Implant<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li><strong>A sore always in the same place:<\/strong> it does not heal and keeps coming back<\/li>\n\n\n\n<li><strong>Clear or yellowish discharge:<\/strong> not normal mucus<\/li>\n\n\n\n<li><strong>Pain in one spot:<\/strong> constant pain inside the nostril<\/li>\n\n\n\n<li><strong>An unpleasant smell:<\/strong> from inside the nostril<\/li>\n\n\n\n<li><strong>The implant visible when you look into the nostril:<\/strong> this is already a severe stage<\/li>\n<\/ul>\n\n<h3 id=\"&#xE2D;&#xE32;&#xE01;&#xE32;&#xE23;&#xE41;&#xE1C;&#xE25;&#xE43;&#xE19;&#xE08;&#xE21;&#xE39;&#xE01;&#xE17;&#xE35;&#xE48;&#xE44;&#xE21;&#xE48;&#xE40;&#xE01;&#xE35;&#xE48;&#xE22;&#xE27;&#xE01;&#xE31;&#xE1A;&#xE0B;&#xE34;&#xE25;&#xE34;&#xE42;&#xE04;&#xE19;\" class=\"wp-block-heading\"><strong>Symptoms of a Sore Inside the Nose That Are Not Related to the Implant<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li><strong>A common cold with a cough and runny nose:<\/strong> small sores that heal on their own in 1 to 2 weeks<\/li>\n\n\n\n<li><strong>Very dry air:<\/strong> in winter or when sleeping in an air-conditioned room<\/li>\n\n\n\n<li><strong>Sinusitis:<\/strong> fever and thick mucus<\/li>\n\n\n\n<li><strong>Allergy to fumes:<\/strong> after contact with chemicals or perfume<\/li>\n<\/ul>\n\n<h3 id=\"&#xE04;&#xE27;&#xE32;&#xE21;&#xE15;&#xE48;&#xE32;&#xE07;&#xE02;&#xE2D;&#xE07;&#xE41;&#xE1C;&#xE25;&#xE14;&#xE49;&#xE32;&#xE19;&#xE19;&#xE2D;&#xE01;-vs-&#xE14;&#xE49;&#xE32;&#xE19;&#xE43;&#xE19;\" class=\"wp-block-heading\"><strong>Wounds Outside vs Inside the Nose<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li><strong>Outside (a wound on the outside of the nose):<\/strong> visible on the outer skin, caused by picking or scabs<\/li>\n\n\n\n<li><strong>Inside (a wound inside the nose):<\/strong> in the nasal cavity and needs a doctor to examine it, often related to the implant or to sinus problems<\/li>\n<\/ul>\n\n<h3 id=\"&#xE40;&#xE21;&#xE37;&#xE48;&#xE2D;&#xE44;&#xE2B;&#xE23;&#xE48;&#xE15;&#xE49;&#xE2D;&#xE07;&#xE1E;&#xE1A;&#xE41;&#xE1E;&#xE17;&#xE22;&#xE4C;\" class=\"wp-block-heading\"><strong>When to See a Doctor<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>a sore inside the nose that does not heal within 2 weeks<\/li>\n\n\n\n<li>a sore that keeps coming back in the same place<\/li>\n\n\n\n<li>unusual yellowish discharge or bleeding<\/li>\n\n\n\n<li>long-lasting pain<\/li>\n\n\n\n<li>you have had rhinoplasty before<\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\">See more about<a href=\"https:\/\/s45clinic.com\/en\/after-rhinoplasty-moist-itchy-wound\/\"> moist, itchy wounds after rhinoplasty<\/a> if you have itching or a wound inside the nose.<\/p>\n\n<h2 id=\"&#xE02;&#xE32;&#xE0B;&#xE34;&#xE25;&#xE34;&#xE42;&#xE04;&#xE19;&#xE42;&#xE1C;&#xE25;&#xE48;&#xE43;&#xE19;&#xE23;&#xE39;&#xE08;&#xE21;&#xE39;&#xE01;\" class=\"wp-block-heading\"><strong>Silicone Implant Leg Showing in the Nostril<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\"><strong>An implant leg showing<\/strong> is a problem seen in cases using a &#8216;legged&#8217; silicone implant, which has an extension (the leg) running down to the nasal base to help hold it in place. In some cases where the leg was not placed deep enough, or where the skin in that area has thinned, the leg may show inside the nostril.<\/p>\n\n<p class=\"wp-block-paragraph\">This problem is different from extrusion at the nasal tip, because the implant leg sits at the base of the columella or inside the nostril, not on the outside of the tip. People usually notice it when taking a photo from below or shining a torch into the nostril.<\/p>\n\n<p class=\"wp-block-paragraph\">There are several ways to correct an implant leg that is showing, depending on how severe it is and where it shows.<\/p>\n\n<h3 id=\"&#xE2D;&#xE32;&#xE01;&#xE32;&#xE23;&#xE02;&#xE2D;&#xE07;&#xE02;&#xE32;&#xE0B;&#xE34;&#xE25;&#xE34;&#xE42;&#xE04;&#xE19;&#xE42;&#xE1C;&#xE25;&#xE48;\" class=\"wp-block-heading\"><strong>Symptoms of an Implant Leg Showing<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>a hard white material visible inside the nostril<\/li>\n\n\n\n<li>irritation inside the nostril<\/li>\n\n\n\n<li>feeling the implant when you touch the inside of the nostril<\/li>\n\n\n\n<li>in some cases, itching or stinging<\/li>\n\n\n\n<li>a feeling of fullness at the nasal base<\/li>\n<\/ul>\n\n<h3 id=\"&#xE2A;&#xE32;&#xE40;&#xE2B;&#xE15;&#xE38;&#xE02;&#xE2D;&#xE07;&#xE02;&#xE32;&#xE0B;&#xE34;&#xE25;&#xE34;&#xE42;&#xE04;&#xE19;&#xE42;&#xE1C;&#xE25;&#xE48;\" class=\"wp-block-heading\"><strong>Causes of an Implant Leg Showing<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>the implant leg is too long, so its end pushes down into the nostril<\/li>\n\n\n\n<li>it was not placed in a suitable position from the start<\/li>\n\n\n\n<li>the skin inside the nostril thins over time<\/li>\n\n\n\n<li>a hard knock to the nose moves the implant<\/li>\n\n\n\n<li>the implant was fixed at the wrong angle<\/li>\n<\/ul>\n\n<h3 id=\"&#xE27;&#xE34;&#xE18;&#xE35;&#xE41;&#xE01;&#xE49;&#xE44;&#xE02;\" class=\"wp-block-heading\"><strong>How It Is Corrected<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li><strong>Early cases:<\/strong> the implant may be moved back into position<\/li>\n\n\n\n<li><strong>Moderate cases:<\/strong> the part of the leg that is too long is trimmed off<\/li>\n\n\n\n<li><strong>Severe cases:<\/strong> the old implant is removed and the nose is reshaped with a silicone implant without a leg or with cartilage<\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\">See more about<a href=\"https:\/\/s45clinic.com\/en\/silicone-problem-rhinoplasty\/\"> shifting or visible silicone implant problems<\/a>, which cover all types of implant movement.<\/p>\n\n<h2 id=\"&#xE2A;&#xE32;&#xE40;&#xE2B;&#xE15;&#xE38;-5-&#xE02;&#xE49;&#xE2D;&#xE17;&#xE35;&#xE48;&#xE17;&#xE33;&#xE43;&#xE2B;&#xE49;&#xE0B;&#xE34;&#xE25;&#xE34;&#xE42;&#xE04;&#xE19;&#xE17;&#xE30;&#xE25;&#xE38;\" class=\"wp-block-heading\"><strong>5 Causes of Silicone Implant Extrusion<\/strong><\/h2>\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1980\" height=\"1080\" src=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/07\/silicone-protrusion-nostril-causes.webp\" alt=\"Silicone nose implant extrusion causes\" class=\"wp-image-7488\" srcset=\"https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/07\/silicone-protrusion-nostril-causes.webp 1980w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/07\/silicone-protrusion-nostril-causes-450x245.webp 450w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/07\/silicone-protrusion-nostril-causes-1080x589.webp 1080w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/07\/silicone-protrusion-nostril-causes-768x419.webp 768w, https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/07\/silicone-protrusion-nostril-causes-1536x838.webp 1536w\" sizes=\"auto, (max-width: 1980px) 100vw, 1980px\" \/><\/figure>\n<\/div>\n<p class=\"wp-block-paragraph\">Understanding the causes helps you prevent extrusion before it happens and choose your surgeon well the first time. Most extrusion is not caused by the silicone breaking down, but by unsuitable surgery or other factors.<\/p>\n\n<p class=\"wp-block-paragraph\">Many cases of extrusion come from decisions made in the operating room that did not suit the person&#8217;s nasal structure. Choosing an experienced surgeon who assesses your case carefully is therefore very important.<\/p>\n\n<p class=\"wp-block-paragraph\">These are the 5 main causes of silicone implant extrusion.<\/p>\n\n<h3 id=\"1-&#xE43;&#xE0A;&#xE49;&#xE0B;&#xE34;&#xE25;&#xE34;&#xE42;&#xE04;&#xE19;&#xE17;&#xE35;&#xE48;&#xE44;&#xE21;&#xE48;&#xE44;&#xE14;&#xE49;&#xE21;&#xE32;&#xE15;&#xE23;&#xE10;&#xE32;&#xE19;\" class=\"wp-block-heading\"><strong>1. Using Silicone That Does Not Meet Standards<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>low-quality silicone that has not been approved<\/li>\n\n\n\n<li>materials that react with the body over the long term<\/li>\n\n\n\n<li>silicone that is not medical grade<\/li>\n<\/ul>\n\n<h3 id=\"2-&#xE02;&#xE19;&#xE32;&#xE14;&#xE41;&#xE25;&#xE30;&#xE23;&#xE39;&#xE1B;&#xE17;&#xE23;&#xE07;&#xE0B;&#xE34;&#xE25;&#xE34;&#xE42;&#xE04;&#xE19;&#xE44;&#xE21;&#xE48;&#xE40;&#xE2B;&#xE21;&#xE32;&#xE30;\" class=\"wp-block-heading\"><strong>2. The Implant Size and Shape Are Not Suitable<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>too large for the original nasal tissue<\/li>\n\n\n\n<li>a shape that does not suit the person&#8217;s nasal structure<\/li>\n\n\n\n<li>a tip that is too pointed and presses on the skin at the tip<\/li>\n<\/ul>\n\n<h3 id=\"3-&#xE27;&#xE32;&#xE07;&#xE15;&#xE33;&#xE41;&#xE2B;&#xE19;&#xE48;&#xE07;&#xE0B;&#xE34;&#xE25;&#xE34;&#xE42;&#xE04;&#xE19;&#xE44;&#xE21;&#xE48;&#xE40;&#xE2B;&#xE21;&#xE32;&#xE30;&#xE2A;&#xE21;\" class=\"wp-block-heading\"><strong>3. The Implant Is Not Placed Well<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>placed too shallow, so it sits close to the skin<\/li>\n\n\n\n<li>not placed along the midline<\/li>\n\n\n\n<li>the pocket (the space made for the implant during surgery) does not fit well<\/li>\n\n\n\n<li>the implant leg is so long that it reaches inside the nostril<\/li>\n<\/ul>\n\n<h3 id=\"4-&#xE01;&#xE32;&#xE23;&#xE2D;&#xE31;&#xE01;&#xE40;&#xE2A;&#xE1A;&#xE2B;&#xE23;&#xE37;&#xE2D;&#xE15;&#xE34;&#xE14;&#xE40;&#xE0A;&#xE37;&#xE49;&#xE2D;\" class=\"wp-block-heading\"><strong>4. Inflammation or Infection<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>an infection after surgery that did not fully clear<\/li>\n\n\n\n<li>long-lasting inflammation that weakens the surrounding tissue<\/li>\n\n\n\n<li>poor self-care after surgery<\/li>\n<\/ul>\n\n<h3 id=\"5-&#xE01;&#xE32;&#xE23;&#xE28;&#xE31;&#xE25;&#xE22;&#xE01;&#xE23;&#xE23;&#xE21;&#xE08;&#xE21;&#xE39;&#xE01;&#xE0B;&#xE49;&#xE33;&#xE2B;&#xE25;&#xE32;&#xE22;&#xE04;&#xE23;&#xE31;&#xE49;&#xE07;\" class=\"wp-block-heading\"><strong>5. Several Previous Nose Surgeries<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>each repeat surgery makes the skin thinner<\/li>\n\n\n\n<li>thicker scar tissue reduces the blood supply<\/li>\n\n\n\n<li>in cases with several revisions, the chance of extrusion is high<\/li>\n<\/ul>\n\n<h3 id=\"6-&#xE2D;&#xE38;&#xE1A;&#xE31;&#xE15;&#xE34;&#xE40;&#xE2B;&#xE15;&#xE38;&#xE17;&#xE35;&#xE48;&#xE01;&#xE23;&#xE30;&#xE17;&#xE1A;&#xE08;&#xE21;&#xE39;&#xE01;\" class=\"wp-block-heading\"><strong>6. An Injury to the Nose<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>a hard knock that moves the implant or tears the skin<\/li>\n\n\n\n<li>falling face first<\/li>\n\n\n\n<li>sports that involve impact to the face<\/li>\n<\/ul>\n\n<h2 id=\"&#xE40;&#xE19;&#xE37;&#xE49;&#xE2D;&#xE08;&#xE21;&#xE39;&#xE01;&#xE1A;&#xE32;&#xE07;&#xE40;&#xE2A;&#xE35;&#xE48;&#xE22;&#xE07;&#xE17;&#xE30;&#xE25;&#xE38;&#xE21;&#xE32;&#xE01;&#xE01;&#xE27;&#xE48;&#xE32;&#xE08;&#xE23;&#xE34;&#xE07;&#xE44;&#xE2B;&#xE21;\" class=\"wp-block-heading\"><strong>Does Thin Nasal Skin Really Have a Higher Chance of Extrusion?<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">To the question &#8220;<strong>does thin nasal skin really have a higher chance of extrusion?<\/strong>&#8220;, the answer is <strong>yes<\/strong>. People with naturally thin nasal skin have a higher chance of silicone implant extrusion than people with thicker skin, because the skin can carry less of the implant&#8217;s pressure.<\/p>\n\n<p class=\"wp-block-paragraph\">However, &#8216;thin skin&#8217; does not mean you cannot have rhinoplasty. It means choosing a suitable technique and material. Using a silicone implant alone in thin-skinned cases carries a chance of tip extrusion over the long term, while using a cartilage tip graft can help lower this chance.<\/p>\n\n<p class=\"wp-block-paragraph\">Assessing the thickness of your nasal skin is something an experienced surgeon does during your consultation, before deciding on the material and technique.<\/p>\n\n<h3 id=\"&#xE25;&#xE31;&#xE01;&#xE29;&#xE13;&#xE30;&#xE02;&#xE2D;&#xE07;&#xE04;&#xE19;&#xE40;&#xE19;&#xE37;&#xE49;&#xE2D;&#xE08;&#xE21;&#xE39;&#xE01;&#xE1A;&#xE32;&#xE07;\" class=\"wp-block-heading\"><strong>Features of Thin Nasal Skin<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>the skin on the nose looks translucent and blood vessels show through<\/li>\n\n\n\n<li>you can clearly feel the bone when you lightly touch your nose<\/li>\n\n\n\n<li>a pointed nasal tip<\/li>\n\n\n\n<li>a history of scarring easily<\/li>\n\n\n\n<li>small nostrils<\/li>\n<\/ul>\n\n<h3 id=\"&#xE04;&#xE27;&#xE32;&#xE21;&#xE40;&#xE2A;&#xE35;&#xE48;&#xE22;&#xE07;&#xE02;&#xE2D;&#xE07;&#xE40;&#xE19;&#xE37;&#xE49;&#xE2D;&#xE1A;&#xE32;&#xE07;&#xE40;&#xE21;&#xE37;&#xE48;&#xE2D;&#xE40;&#xE2A;&#xE23;&#xE34;&#xE21;&#xE0B;&#xE34;&#xE25;&#xE34;&#xE42;&#xE04;&#xE19;\" class=\"wp-block-heading\"><strong>Risks of Thin Skin With a Silicone Implant<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li><strong>Chance of show-through:<\/strong> the implant&#8217;s outline is easily seen through the skin<\/li>\n\n\n\n<li><strong>Chance of a red tip:<\/strong> because of the blood supply to the thin skin in that area<\/li>\n\n\n\n<li><strong>Chance of tip extrusion:<\/strong> the skin cannot carry the pressure over the long term<\/li>\n\n\n\n<li><strong>Implant fixed too tightly:<\/strong> this stretches and damages the skin<\/li>\n<\/ul>\n\n<h3 id=\"&#xE40;&#xE17;&#xE04;&#xE19;&#xE34;&#xE04;&#xE17;&#xE35;&#xE48;&#xE25;&#xE14;&#xE04;&#xE27;&#xE32;&#xE21;&#xE40;&#xE2A;&#xE35;&#xE48;&#xE22;&#xE07;&#xE43;&#xE19;&#xE04;&#xE19;&#xE40;&#xE19;&#xE37;&#xE49;&#xE2D;&#xE1A;&#xE32;&#xE07;\" class=\"wp-block-heading\"><strong>Techniques That Lower the Chance in People With Thin Skin<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\"><strong>1. Use a cartilage tip graft.<\/strong> Your own ear cartilage or septal cartilage is placed between the implant and the skin of the tip. It works like a cushion that stops the implant pressing directly on the skin.<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>2. Choose a smaller implant.<\/strong> The implant is reduced to fit your tissue, without adding more than the skin can take.<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>3. Rhinoplasty with cartilage only.<\/strong> In cases with very thin skin, cartilage only (auto-cartilage rhinoplasty) may be used, which has a low chance of rejection and a lower chance of extrusion than silicone.<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>4. Use an acellular dermal matrix (a processed tissue graft) over the tip.<\/strong> An option for people who do not want surgery to harvest cartilage.<\/p>\n\n<p class=\"wp-block-paragraph\">See more about techniques for thin-skinned cases in<a href=\"https:\/\/s45clinic.com\/en\/scar-tissue-open-rhinoplasty\/\"> dense scar tissue and a stiff nose<\/a> to understand how complex cases are corrected.<\/p>\n\n<h2 id=\"&#xE0B;&#xE34;&#xE25;&#xE34;&#xE42;&#xE04;&#xE19;&#xE08;&#xE21;&#xE39;&#xE01;&#xE17;&#xE30;&#xE25;&#xE38;-&#xE41;&#xE01;&#xE49;&#xE44;&#xE02;&#xE44;&#xE14;&#xE49;&#xE2D;&#xE22;&#xE48;&#xE32;&#xE07;&#xE44;&#xE23;\" class=\"wp-block-heading\"><strong>How Is Silicone Nose Implant Extrusion Treated?<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">If the silicone implant has already extruded, treatment depends on the stage of extrusion and the condition of the skin in that area. In every case, <strong>do not wait for it to heal on its own<\/strong>, because the wound is likely to become infected and larger. See an experienced surgeon promptly for treatment.<\/p>\n\n<p class=\"wp-block-paragraph\">Correcting silicone implant extrusion cannot be done in a single day. It usually takes several months, from removing the implant and letting the wound heal fully to reshaping the nose again. Planning the treatment correctly from the start helps towards a good final result, which depends on each person.<\/p>\n\n<p class=\"wp-block-paragraph\">Before deciding on correction, consult a surgeon who has experience in treating revision and extrusion cases.<\/p>\n\n<h3 id=\"&#xE02;&#xE31;&#xE49;&#xE19;&#xE17;&#xE35;&#xE48;-1-&#xE16;&#xE2D;&#xE14;&#xE0B;&#xE34;&#xE25;&#xE34;&#xE42;&#xE04;&#xE19;\" class=\"wp-block-heading\"><strong>Step 1, Removing the Implant<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>surgery to take out the old implant<\/li>\n\n\n\n<li>cleaning the infected area<\/li>\n\n\n\n<li>removing unusually thick scar tissue<\/li>\n\n\n\n<li>closing the wound and giving antibiotics<\/li>\n<\/ul>\n\n<h3 id=\"&#xE02;&#xE31;&#xE49;&#xE19;&#xE17;&#xE35;&#xE48;-2-&#xE23;&#xE31;&#xE01;&#xE29;&#xE32;&#xE41;&#xE1C;&#xE25;&#xE43;&#xE2B;&#xE49;&#xE2B;&#xE32;&#xE22;&#xE2A;&#xE19;&#xE34;&#xE17;\" class=\"wp-block-heading\"><strong>Step 2, Letting the Wound Heal Fully<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>waiting for the wound to heal completely, usually 3 to 6 months<\/li>\n\n\n\n<li>caring for the wound as the doctor advises<\/li>\n\n\n\n<li>applying silicone gel to help lower the chance of keloid scars<\/li>\n\n\n\n<li>avoiding knocks to the nose<\/li>\n\n\n\n<li>taking vitamins to support wound healing<\/li>\n<\/ul>\n\n<h3 id=\"&#xE02;&#xE31;&#xE49;&#xE19;&#xE17;&#xE35;&#xE48;-3-&#xE40;&#xE2A;&#xE23;&#xE34;&#xE21;&#xE08;&#xE21;&#xE39;&#xE01;&#xE43;&#xE2B;&#xE21;&#xE48;\" class=\"wp-block-heading\"><strong>Step 3, Having Rhinoplasty Again<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Once the wound has fully healed, a suitable method of reshaping is chosen.<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Option A: use your own cartilage (recommended)<\/strong><\/p>\n\n<ul class=\"wp-block-list\">\n<li>lowers the chance of extrusion happening again<\/li>\n\n\n\n<li>rib cartilage is used in complex cases<\/li>\n\n\n\n<li>ear cartilage is used in standard cases<\/li>\n\n\n\n<li>intended to be durable over the long term<\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\"><strong>Option B: a smaller silicone implant with a cartilage tip graft<\/strong><\/p>\n\n<ul class=\"wp-block-list\">\n<li>reduces the load of the implant<\/li>\n\n\n\n<li>the cartilage helps protect against extrusion<\/li>\n\n\n\n<li>costs less than using cartilage only<\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\"><strong>Option C: no new silicone implant<\/strong><\/p>\n\n<ul class=\"wp-block-list\">\n<li>some people choose not to have another implant after removal<\/li>\n\n\n\n<li>accepting the nose as it is<\/li>\n\n\n\n<li>using non-surgical options such as filler injections<\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\">See more about<a href=\"https:\/\/s45clinic.com\/en\/service\/revision-rhinoplasty\/\"> revision rhinoplasty<\/a>, a service for revision cases.<\/p>\n\n<h2 id=\"&#xE27;&#xE34;&#xE18;&#xE35;&#xE1B;&#xE49;&#xE2D;&#xE07;&#xE01;&#xE31;&#xE19;&#xE44;&#xE21;&#xE48;&#xE43;&#xE2B;&#xE49;&#xE0B;&#xE34;&#xE25;&#xE34;&#xE42;&#xE04;&#xE19;&#xE17;&#xE30;&#xE25;&#xE38;\" class=\"wp-block-heading\"><strong>How to Prevent Silicone Implant Extrusion<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">Preventing extrusion is preferable to treating it. It cannot be prevented in 100% of cases, but following these steps can help lower the chance, both in choosing your surgeon from the start and in looking after yourself over the long term.<\/p>\n\n<p class=\"wp-block-paragraph\">The most important factor in prevention is the decisions made in the operating room the first time, because if the implant and technique are not suitable from the start, the chance of extrusion over the long term is high. Paying more for an experienced surgeon is usually worth more than paying for correction later.<\/p>\n\n<h3 id=\"1-&#xE40;&#xE25;&#xE37;&#xE2D;&#xE01;&#xE41;&#xE1E;&#xE17;&#xE22;&#xE4C;&#xE1C;&#xE39;&#xE49;&#xE0A;&#xE33;&#xE19;&#xE32;&#xE0D;&#xE01;&#xE32;&#xE23;&#xE40;&#xE09;&#xE1E;&#xE32;&#xE30;&#xE17;&#xE32;&#xE07;\" class=\"wp-block-heading\"><strong>1. Choose a Surgeon With Suitable Training<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>consult an otolaryngologist or a facial plastic and reconstructive surgeon<\/li>\n\n\n\n<li>look at long-term case reviews from 5 to 10 years after surgery<\/li>\n\n\n\n<li>check the surgeon&#8217;s licence and qualifications<\/li>\n<\/ul>\n\n<h3 id=\"2-&#xE40;&#xE25;&#xE37;&#xE2D;&#xE01;&#xE0B;&#xE34;&#xE25;&#xE34;&#xE42;&#xE04;&#xE19;&#xE04;&#xE38;&#xE13;&#xE20;&#xE32;&#xE1E;&#xE41;&#xE25;&#xE30;&#xE02;&#xE19;&#xE32;&#xE14;&#xE40;&#xE2B;&#xE21;&#xE32;&#xE30;\" class=\"wp-block-heading\"><strong>2. Choose a Good-Quality Implant of a Suitable Size<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>use only medical-grade silicone registered with Thailand&#8217;s Food and Drug Administration<\/li>\n\n\n\n<li>choose a size that fits your nasal tissue, not one that is too large<\/li>\n\n\n\n<li>do not push for a higher bridge than your nasal tissue can take<\/li>\n<\/ul>\n\n<h3 id=\"3-&#xE43;&#xE0A;&#xE49;&#xE01;&#xE23;&#xE30;&#xE14;&#xE39;&#xE01;&#xE2D;&#xE48;&#xE2D;&#xE19;&#xE23;&#xE2D;&#xE07;&#xE1B;&#xE25;&#xE32;&#xE22;&#xE43;&#xE19;&#xE40;&#xE04;&#xE2A;&#xE40;&#xE19;&#xE37;&#xE49;&#xE2D;&#xE1A;&#xE32;&#xE07;\" class=\"wp-block-heading\"><strong>3. Use a Cartilage Tip Graft in Thin-Skinned Cases<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>adds thickness to the skin at the tip<\/li>\n\n\n\n<li>helps stop the implant pressing directly on the skin<\/li>\n\n\n\n<li>lowers the chance of tip extrusion over the long term<\/li>\n<\/ul>\n\n<h3 id=\"4-&#xE2B;&#xE25;&#xE35;&#xE01;&#xE40;&#xE25;&#xE35;&#xE48;&#xE22;&#xE07;&#xE01;&#xE32;&#xE23;&#xE01;&#xE23;&#xE30;&#xE17;&#xE1A;&#xE08;&#xE21;&#xE39;&#xE01;\" class=\"wp-block-heading\"><strong>4. Avoid Knocks to the Nose<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>take care in sports that may involve impact to the face<\/li>\n\n\n\n<li>avoid regularly sleeping face down<\/li>\n\n\n\n<li>avoid wearing glasses that press on the bridge for long periods<\/li>\n\n\n\n<li>take care when applying make-up or washing your face<\/li>\n<\/ul>\n\n<h3 id=\"5-&#xE15;&#xE23;&#xE27;&#xE08;&#xE1B;&#xE23;&#xE30;&#xE08;&#xE33;&#xE1B;&#xE35;\" class=\"wp-block-heading\"><strong>5. Have Yearly Check-Ups<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>see a doctor every 1 to 2 years once your implant has been in place for 5 years or more<\/li>\n\n\n\n<li>take comparison photos every year<\/li>\n\n\n\n<li>watch for changes yourself<\/li>\n<\/ul>\n\n<h3 id=\"6-&#xE14;&#xE39;&#xE41;&#xE25;&#xE1C;&#xE34;&#xE27;&#xE08;&#xE21;&#xE39;&#xE01;&#xE43;&#xE2B;&#xE49;&#xE41;&#xE02;&#xE47;&#xE07;&#xE41;&#xE23;&#xE07;\" class=\"wp-block-heading\"><strong>6. Keep Your Nasal Skin Healthy<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>apply sunscreen every day<\/li>\n\n\n\n<li>use skincare creams intended to help maintain skin thickness<\/li>\n\n\n\n<li>take collagen and vitamin C<\/li>\n\n\n\n<li>drink enough water<\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\">See more from<a href=\"https:\/\/www.plasticsurgery.org\/cosmetic-procedures\/rhinoplasty\/safety\" target=\"_blank\" rel=\"noopener\"> ASPS &#8211; Rhinoplasty Risks &amp; Safety<\/a>, which covers risks and complications including implant extrusion.<\/p>\n\n<h2 id=\"&#xE17;&#xE33;&#xE44;&#xE21;&#xE40;&#xE25;&#xE37;&#xE2D;&#xE01;&#xE23;&#xE31;&#xE01;&#xE29;&#xE32;&#xE08;&#xE21;&#xE39;&#xE01;&#xE17;&#xE30;&#xE25;&#xE38;&#xE17;&#xE35;&#xE48;-s45-clinic\" class=\"wp-block-heading\"><strong>Why Choose S45 Clinic for Implant Extrusion Treatment<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">Correcting silicone implant extrusion is a more complex procedure than standard rhinoplasty. It needs an in-depth assessment, long-term planning and surgical skill in reshaping the nose again in a way that lowers the chance of repeat extrusion. S45 Clinic is a plastic surgery clinic focused on the nose, with care from assessment through to recovery, under our promise <strong>&#8220;Because all beauty comes from care&#8221;<\/strong>.<\/p>\n\n<h3 id=\"&#xE17;&#xE35;&#xE21;&#xE41;&#xE1E;&#xE17;&#xE22;&#xE4C;&#xE1C;&#xE39;&#xE49;&#xE0A;&#xE33;&#xE19;&#xE32;&#xE0D;&#xE01;&#xE32;&#xE23;&#xE40;&#xE09;&#xE1E;&#xE32;&#xE30;&#xE17;&#xE32;&#xE07;\" class=\"wp-block-heading\"><strong>Our Surgeons and Their Training<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Our surgeons are otolaryngologists (ear, nose and throat surgeons) with further training in the facial plastic and reconstructive surgery subspecialty, focusing on nose cases and revision rhinoplasty. They assess noses with implant extrusion and plan treatment for each case.<\/p>\n\n<h3 id=\"&#xE40;&#xE17;&#xE04;&#xE19;&#xE34;&#xE04;-open-rib-rhinoplasty-&#xE2A;&#xE33;&#xE2B;&#xE23;&#xE31;&#xE1A;&#xE40;&#xE04;&#xE2A;&#xE22;&#xE32;&#xE01;\" class=\"wp-block-heading\"><strong>Open Rib Rhinoplasty for Complex Cases<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">In cases where the skin is badly damaged by extrusion, S45 Clinic uses open rib rhinoplasty, which uses your own rib cartilage to rebuild the structure of the nose. The technique is intended to be durable and to lower the chance of repeat extrusion over the long term.<\/p>\n\n<h3 id=\"&#xE23;&#xE30;&#xE1A;&#xE1A;-after-care-&#xE15;&#xE48;&#xE2D;&#xE40;&#xE19;&#xE37;&#xE48;&#xE2D;&#xE07;&#xE23;&#xE30;&#xE22;&#xE30;&#xE22;&#xE32;&#xE27;\" class=\"wp-block-heading\"><strong>Ongoing Long-Term Aftercare<\/strong><\/h3>\n\n<ul class=\"wp-block-list\">\n<li>follow-up appointments at 1 week, 1 month, 3 months and 6 months<\/li>\n\n\n\n<li>contact our team on LINE if you notice anything unusual<\/li>\n\n\n\n<li>yearly check-ups once your implant has been in place for 5 years or more<\/li>\n\n\n\n<li>advice on caring for your nasal skin tailored to your case, with long-term attention<\/li>\n<\/ul>\n\n<h2 id=\"faq-&#xE04;&#xE33;&#xE16;&#xE32;&#xE21;&#xE17;&#xE35;&#xE48;&#xE1E;&#xE1A;&#xE1A;&#xE48;&#xE2D;&#xE22;&#xE40;&#xE01;&#xE35;&#xE48;&#xE22;&#xE27;&#xE01;&#xE31;&#xE1A;&#xE0B;&#xE34;&#xE25;&#xE34;&#xE42;&#xE04;&#xE19;&#xE17;&#xE30;&#xE25;&#xE38;\" class=\"wp-block-heading\"><strong>FAQ About Silicone Implant Extrusion<\/strong><\/h2>\n\n<h3 id=\"&#xE0B;&#xE34;&#xE25;&#xE34;&#xE42;&#xE04;&#xE19;&#xE08;&#xE30;&#xE17;&#xE30;&#xE25;&#xE38;&#xE14;&#xE39;&#xE22;&#xE31;&#xE07;&#xE44;&#xE07;\" class=\"wp-block-heading\"><strong>How Can I Tell If My Silicone Implant Is Going to Extrude?<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Look for the 5 main warning signs: an unusually shiny nasal tip; tingling when you touch the tip; a clearly visible implant outline; a nose that looks longer or droopier; unusual grooves or dents. If you notice these signs, see a doctor straight away. The early stage is easier to treat than waiting until the implant clearly extrudes.<\/p>\n\n<h3 id=\"&#xE0B;&#xE34;&#xE25;&#xE34;&#xE42;&#xE04;&#xE19;&#xE08;&#xE21;&#xE39;&#xE01;&#xE17;&#xE30;&#xE25;&#xE38;-&#xE41;&#xE01;&#xE49;&#xE44;&#xE02;&#xE44;&#xE14;&#xE49;&#xE2D;&#xE22;&#xE48;&#xE32;&#xE07;&#xE44;&#xE23;\" class=\"wp-block-heading\"><strong>How Is Silicone Nose Implant Extrusion Treated?<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Correction has 3 steps: removing the old implant, waiting 3 to 6 months for the wound to heal fully, then reshaping the nose again with your own cartilage or a smaller silicone implant with a cartilage tip graft. In cases where the skin is badly damaged, the surgeon may recommend open rib rhinoplasty, a technique intended to be durable.<\/p>\n\n<h3 id=\"&#xE1B;&#xE25;&#xE32;&#xE22;&#xE08;&#xE21;&#xE39;&#xE01;&#xE41;&#xE14;&#xE07;&#xE08;&#xE30;&#xE17;&#xE30;&#xE25;&#xE38;&#xE44;&#xE2B;&#xE21;\" class=\"wp-block-heading\"><strong>Does a Red Nasal Tip Mean the Implant Will Extrude?<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Not every case extrudes. It depends on the type of redness. Redness only in cold weather or after drinking alcohol is normal, but redness all the time, redness that keeps getting darker, or redness with thin skin or tingling when touched is a warning sign, and you need to see a doctor promptly. Taking photos to keep for comparison helps you notice changes.<\/p>\n\n<h3 id=\"&#xE1B;&#xE25;&#xE32;&#xE22;&#xE08;&#xE21;&#xE39;&#xE01;&#xE1A;&#xE32;&#xE07;-&#xE14;&#xE39;&#xE22;&#xE31;&#xE07;&#xE44;&#xE07;\" class=\"wp-block-heading\"><strong>How Can I Tell If My Nasal Tip Skin Is Thin?<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Use 5 methods: look from the side in strong light to see whether the implant&#8217;s shadow shows; compare the feel with the nasal bridge; look at how the skin reflects light; check whether the skin colour has changed; take comparison photos every 6 months. Thinning ranges from slightly thin, which can be monitored, to very thin, which needs prompt treatment.<\/p>\n\n<h3 id=\"&#xE08;&#xE21;&#xE39;&#xE01;&#xE40;&#xE1B;&#xE47;&#xE19;&#xE41;&#xE1C;&#xE25;&#xE14;&#xE49;&#xE32;&#xE19;&#xE43;&#xE19;-&#xE40;&#xE01;&#xE35;&#xE48;&#xE22;&#xE27;&#xE01;&#xE31;&#xE1A;&#xE0B;&#xE34;&#xE25;&#xE34;&#xE42;&#xE04;&#xE19;&#xE44;&#xE2B;&#xE21;\" class=\"wp-block-heading\"><strong>Is a Wound Inside My Nose Related to the Implant?<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">It may be. If you have had rhinoplasty and have a sore inside your nostril that is slow to heal, keeps coming back or has yellowish discharge, it may be a symptom of internal implant extrusion. If you have not had rhinoplasty, sores inside the nose are usually caused by dry air, picking or sinusitis. Telling them apart requires a doctor to examine the inside of the nostril.<\/p>\n\n<h3 id=\"&#xE0B;&#xE34;&#xE25;&#xE34;&#xE42;&#xE04;&#xE19;&#xE17;&#xE30;&#xE25;&#xE38;&#xE02;&#xE49;&#xE32;&#xE07;&#xE43;&#xE19;-vs-&#xE02;&#xE49;&#xE32;&#xE07;&#xE19;&#xE2D;&#xE01;-&#xE15;&#xE48;&#xE32;&#xE07;&#xE01;&#xE31;&#xE19;&#xE22;&#xE31;&#xE07;&#xE44;&#xE07;\" class=\"wp-block-heading\"><strong>What Is the Difference Between Internal and External Silicone Implant Extrusion?<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Internal extrusion is when the implant pushes into the nasal cavity and is seen from inside the nostril, with yellowish discharge and a sore inside the nose. External extrusion is when the implant pushes out at the tip or base of the nose on the outside and is visible to the naked eye as a white spot. Both have a high chance of infection and need prompt treatment.<\/p>\n\n<h3 id=\"&#xE02;&#xE32;&#xE0B;&#xE34;&#xE25;&#xE34;&#xE42;&#xE04;&#xE19;&#xE42;&#xE1C;&#xE25;&#xE48;&#xE43;&#xE19;&#xE23;&#xE39;&#xE08;&#xE21;&#xE39;&#xE01;-&#xE17;&#xE33;&#xE22;&#xE31;&#xE07;&#xE44;&#xE07;\" class=\"wp-block-heading\"><strong>What Should I Do If My Implant Leg Is Showing in My Nostril?<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">An implant leg showing happens in cases using a legged silicone implant where the leg is too long and pushes into the nostril. Symptoms include a hard white material inside the nostril and irritation. Treatment depends on severity, from moving the implant back into position and trimming the part of the leg that is too long to replacing it with a silicone implant without a leg.<\/p>\n\n<h3 id=\"&#xE40;&#xE19;&#xE37;&#xE49;&#xE2D;&#xE08;&#xE21;&#xE39;&#xE01;&#xE1A;&#xE32;&#xE07;&#xE40;&#xE2A;&#xE35;&#xE48;&#xE22;&#xE07;&#xE17;&#xE30;&#xE25;&#xE38;&#xE21;&#xE32;&#xE01;&#xE01;&#xE27;&#xE48;&#xE32;&#xE08;&#xE23;&#xE34;&#xE07;&#xE44;&#xE2B;&#xE21;\" class=\"wp-block-heading\"><strong>Does Thin Nasal Skin Really Have a Higher Chance of Extrusion?<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Yes. People with thin nasal skin have a higher chance of extrusion because the skin can carry less of the implant&#8217;s pressure, but this does not mean you cannot have rhinoplasty. Using a cartilage tip graft, choosing a smaller implant or using only your own cartilage can help lower this chance.<\/p>\n\n<h3 id=\"&#xE40;&#xE2B;&#xE47;&#xE19;&#xE0B;&#xE34;&#xE25;&#xE34;&#xE42;&#xE04;&#xE19;&#xE43;&#xE19;&#xE23;&#xE39;&#xE08;&#xE21;&#xE39;&#xE01;-&#xE15;&#xE49;&#xE2D;&#xE07;&#xE23;&#xE35;&#xE1A;&#xE02;&#xE19;&#xE32;&#xE14;&#xE44;&#xE2B;&#xE19;\" class=\"wp-block-heading\"><strong>How Urgent Is It If I Can See the Implant Inside My Nostril?<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">It is very urgent, because this means the implant has already extruded internally and there is a chance of infection in the nasal cavity. Book to see a doctor within 1 to 3 days. Do not wait until there is yellowish discharge or pain, because treatment at that stage is more complex and recovery takes longer.<\/p>\n\n<h3 id=\"&#xE0B;&#xE34;&#xE25;&#xE34;&#xE42;&#xE04;&#xE19;&#xE08;&#xE21;&#xE39;&#xE01;&#xE2D;&#xE22;&#xE39;&#xE48;&#xE44;&#xE14;&#xE49;&#xE01;&#xE35;&#xE48;&#xE1B;&#xE35;-&#xE17;&#xE30;&#xE25;&#xE38;&#xE07;&#xE48;&#xE32;&#xE22;&#xE44;&#xE2B;&#xE21;\" class=\"wp-block-heading\"><strong>How Long Does a Silicone Nose Implant Last, and Does It Extrude Easily?<\/strong><\/h3>\n\n<p class=\"wp-block-paragraph\">Medical-grade silicone itself is designed to last a long time if there are no complications. Extrusion does not happen because of the implant&#8217;s age but because of specific factors such as an unsuitable size, thin skin or an injury. In typical cases where the size is suitable and the nose is well cared for, an implant can stay in place for many years without extruding, although this depends on each person.<\/p>\n\n<h2 id=\"&#xE2A;&#xE23;&#xE38;&#xE1B;\" class=\"wp-block-heading\"><strong>Summary<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\"><strong>Silicone nose implant extrusion<\/strong> is a complication in which a silicone implant placed during rhinoplasty pushes out through the skin. It can happen internally (into the nostril) or externally (at the tip or base of the nose). Both need prompt treatment to prevent infection and skin damage that would make treatment more difficult.<\/p>\n\n<p class=\"wp-block-paragraph\">The 5 main warning signs are an unusually shiny nasal tip, tingling when you touch the tip, a clearly visible implant outline, a nose that looks longer or droopier, and grooves or dents. Extrusion develops in 3 stages: the early stage with thin skin, the pre-extrusion stage with a red tip and a white spot, and the extruded stage where the implant shows through. Treatment is easier, and the outcome is usually more favourable, if you see a doctor at the early stage rather than waiting until it becomes severe.<\/p>\n\n<p class=\"wp-block-paragraph\">The main cause is not the silicone breaking down but other factors, such as an implant too large for the original nasal tissue, poor placement, infection and injury. People with thin nasal skin have a higher chance of extrusion and should choose a technique that uses a cartilage tip graft. Key ways to prevent it are choosing an experienced surgeon from the start and looking after yourself over the long term.<\/p>\n\n<div class=\"wp-block-group s45-cta\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n\n<h3 class=\"wp-block-heading\">Because every nose structure&#8230;<br\/>is different<\/h3>\n\n\n\n<p class=\"s45-cta-lead wp-block-paragraph\">An otolaryngologist with subspecialty training in facial plastic and reconstructive surgery <strong>assesses every case before treatment<\/strong> and gives advice based on your actual concerns.<\/p>\n\n\n\n<p class=\"s45-cta-slogan wp-block-paragraph\">\u201cReveal the beauty within you\u201d<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n\n<div class=\"wp-block-button s45-cta-line\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/page.line.me\/s45clinic.official\" target=\"_blank\" rel=\"noreferrer noopener\">Chat with us on LINE<\/a><\/div>\n\n<\/div>\n\n\n\n<p class=\"s45-cta-free wp-block-paragraph\">Message us online<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a class=\"s45-cta-tel\" href=\"tel:+6621252543\">Call us +66 2 125 2543<\/a><\/p>\n\n\n\n<div class=\"s45-cta-clinic\"><a class=\"s45-cta-map\" href=\"https:\/\/maps.app.goo.gl\/7cTTtDAiE7NVN4yZA\" target=\"_blank\" rel=\"noreferrer noopener\"><span><strong>S45 Clinic (Sukhumvit 33)<\/strong><em>Open daily 8:30am to 11:30pm. View map and directions<\/em><\/span><\/a><\/div>\n\n<\/div><\/div>\n\n<p class=\"s45-cta-warn wp-block-paragraph\">Surgery and medical procedures carry risks. Find out about them and consult a doctor before you decide. Results depend on each person.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Silicone nose implant extrusion is when a silicone implant placed during rhinoplasty pushes out through the skin of the nostril, nasal tip or nasal base. It is a complication that needs prompt treatment.<\/p>\n","protected":false},"author":3,"featured_media":9500,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","footnotes":""},"categories":[523],"tags":[],"class_list":["post-9499","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-rhinoplasty"],"taxonomy_info":{"category":[{"value":523,"label":"Rhinoplasty"}]},"featured_image_src_large":["https:\/\/s45clinic.com\/wp-content\/uploads\/2026\/07\/silicone-protrusion-nostril-cover-1080x589.webp",1080,589,true],"author_info":{"display_name":"S45 Clinic","author_link":"https:\/\/s45clinic.com\/en\/about-us\/"},"comment_info":0,"category_info":[{"term_id":523,"name":"Rhinoplasty","slug":"rhinoplasty","term_group":0,"term_taxonomy_id":523,"taxonomy":"category","description":"","parent":0,"count":144,"filter":"raw","cat_ID":523,"category_count":144,"category_description":"","cat_name":"Rhinoplasty","category_nicename":"rhinoplasty","category_parent":0}],"tag_info":false,"_links":{"self":[{"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/posts\/9499","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/comments?post=9499"}],"version-history":[{"count":3,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/posts\/9499\/revisions"}],"predecessor-version":[{"id":11087,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/posts\/9499\/revisions\/11087"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/media\/9500"}],"wp:attachment":[{"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/media?parent=9499"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/categories?post=9499"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/s45clinic.com\/en\/wp-json\/wp\/v2\/tags?post=9499"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}