14 years ago, I had surgery with L-shaped silicone and ear cartilage for the nose tip. As time passed, the pressure from the silicone, redness, and foreign-body sensation gradually got worse, so I was looking into revision rhinoplasty. At that time, the doctor recommended that just removing it first was also an option, so I went ahead with removal only.
There is still some swelling, but I am satisfied because it seems to have been removed cleanly. The doctor has a rather cool personality, but thanks to how carefully the surgery was done, I am recovering well.
Actually, my original nose was on the lower side, so I thought removing only would leave me feeling a big sense of loss, and I had been thinking only about revision surgery. At other hospitals, I heard many times that if you simply remove the silicone, the nose can become uneven or develop a step-off, which made me uneasy. But after trusting and following the doctor, who seemed confident, it turned out well.
I think they are remarkably conscientious, to a degree that is rare these days.