title: Circumferential Calcification of Silicone Implant Misunderstood as a Bony Substitute.
abstract: Silicone implant is known to be safe and easy to handle, and frequently used in Asian rhinoplasty. Compared with breast implant, complication studies about silicone calcification used in rhinoplasty are very limited. Recently, the authors experienced an interesting patient who underwent revision rhinoplasty in our institution. Based on preoperative images, previously inserted dorsal augmentation material was identified. It was circumferentially enclosed with bony material and hypertrophied bony lesion induced hump on the mid portion of nasal dorsum. During operation, the authors found it was the calcified capsule of silicone implant, and the calcification was surrounding the whole implant material.
authors.affiliation: *Unique Aesthetic Clinic †Department of Otorhinolaryngology-Head and Neck Surgery, Chung-Ang University College of Medicine, Seoul, Korea.
authors.forename: Sae Bin
authors.initials: SB
authors.lastname: Lee
authors.forename: Hyun Jin
authors.initials: HJ
authors.lastname: Min
mesh_terms: D001672:Biocompatible Materials / Q000009:adverse effects* / Q000737:chemistry; D018786:Bone Substitutes / Q000737:chemistry; D002114:Calcinosis / Q000209:etiology*; D004129:Dimethylpolysiloxanes / Q000737:chemistry; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D055171:Nasal Cartilages / Q000637:transplantation; D009300:Nasal Septum / Q000601:surgery; D011183:Postoperative Complications; D019736:Prostheses and Implants / Q000009:adverse effects*; D012086:Reoperation; D012225:Rhinoplasty / Q000379:methods*; D012828:Silicones / Q000009:adverse effects*; D020858:Tissue and Organ Harvesting / Q000379:methods; D060053:Transplant Donor Site / Q000601:surgery
chemical_list: D001672:Biocompatible Materials; D018786:Bone Substitutes; D004129:Dimethylpolysiloxanes; D012828:Silicones; C013830:baysilon