Rhinoplastic revisions with injectable silicone.

We report 20 years of experience with conservative and cautious injection of small amounts of medical-grade liquid silicone in 347 postrhinoplasty patients for a total of 1,937 treatments. Medical-grade silicone was found to be a safe, effective, and valuable adjunct to cosmetic rhinoplastic procedures. Microdroplet technique with very small doses is recommended for the correction of nasal defects that may not be amenable to revisional surgery. Controlled release of this material to the medical profession after appropriate evaluation is recommended, along with proper training prior to its use.