Silicone rhinoplasty can lead to a contracted nose due to implant- related infections. Contraction can be swift after recognizable signs of infection or evolve slowly without clear indicators over years. The association with capsular contracture lacks solid evidence. We present two cases of gradual nasal tip upturning without apparent infection signs. Denying infection events, both patients, during revision, unexpectedly presented 'concealed pus' beneath the dorsal silicone implant. Such hidden infections likely contribute to contracted noses through inflammation and scar formation. Revision involved removing alloplast, thorough debridement, and reconstruction with autologous rib cartilage. Post-surgery, no recurrence was observed, and the contracted nasal tip significantly improved. These cases sheds light on the nuanced development of contracted noses after silicone rhinoplasty and underscores the potential role of concealed infections in this process. The term 'concealed pus' encapsulates the subtle yet impactful nature of these infections, contributing to the broader understanding of complications associated with silicone rhinoplasty. Recognition of this phenomenon is imperative for clinicians, guiding them to consider concealed pus as a potential cause and prompting thorough evaluation and treatment during revision surgeries.