Donald Kress, MD

The best implant is whatever tissue occurs in that area naturally.  For the nose, bone or cartilage are the naural materials.  They can come from the nose itself, a rib, or borrowed from the ear.  Your own tissues are better than any kind of banked tissue.

My experience with silicone nasal implants is that they are a very convenient shortcut which works well in the thicker skin of Asians and African Americans.  They are poor in the thinner skin of caucasians and will too often erode through the skin.