Contracted nose is common in patients who have undergone rhinoplasty with a silicone implant.1,2 Commonly, patients who develop a contracted nose have histories of multiple rhinoplasties. Repeated injuries to the nasal tissue, infection, absence of dorsal volume following silicone removal, and overaggressive resection of normal cartilage are presumed to contribute to the development of nasal contracture. However, nasal contracture develops even with silicone in situ and without manipulation of the nasal tip. Although it is not the sole cause of contracted nose, silicone implant–related capsular contracture is presumed to play an important role in the development of this condition, especially in patients for whom the development of contracture cannot be otherwise explained.
Sunwoo W, Jung H, Kim DW, Jin HR. Immunohistochemical Analysis of Capsular Contracture in Silicone Implant Rhinoplasty. JAMA Facial Plast Surg. Published online July 13, 2017. doi:10.1001/jamafacial.2017.0207