Penetration of Anterior Table of Frontal Sinus Due to Silicone Implant in Nasal Dorsum: A Case Report

A 33-year-old female with six prior augmentation rhinoplasties presented with a short, retracted nose and recurrent swelling over the nasal dorsum, without sinusitis symptoms. CT imaging revealed penetration of the anterior table of the frontal sinus by a silicone implant. Surgical intervention included implant removal, debridement of infected tissue, and reconstruction using the conchal cartilage and homologous fascia, tip grafting, and dorsum augmentation. Due to suspected infection, the planned costal cartilage reconstruction was postponed. In case of correcting the short nose resulting from silicone implantation, especially when infection is suspected, the risk of postoperative infection increases, potentially necessitating a second-stage operation. This case highlights the importance of comprehensive diagnostic methods, including CT imaging, and thorough preoperative consultation to ensure that patients understand potential surgical strategies and outcomes in revision rhinoplasty with complications from silicone implantation.