Asian Rhinoplasty: Q&A
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Which is Better - a 1mm Silicone Implant, or Using my Own Cartilage for my Nasal Dorsum?
I am of Asian background and planning on having my rhinoplasty. The surgeon recommended he uses a 1mm silicone implant for my nasal dorsum. He said that this isn't to make my bridge higher but to smooth and cover any irregular contour. He is also going to perform tip plasty using septal cartilage and tip debulking. I like that he's using my own septal cartilage but worried re. the silicone. Is 1mm of it ok, or should he use my own cartilage for the bridge, and if so, how can he do this? Thanks!
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12 Doctor Answers |
Asked by
London_chick
in London, UK
+2
1mm silicone implant or cartilage for Asian rhinoplasty
While it is usually best to use the patient’s natural cartilage when performing a rhinoplasty, small silicone implants are well tolerated in the Asian population. If there is only 1 mm of augmentation required, it is probably advantageous to use the patient’s own cartilage rather than a synthetic implant. If 3-4 mm of augmentation were necessary, then a silicone implant would be the best option.
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Silicone vs cartilage for bridge
It sounds like your bridge has some irregularities and if possible I would prefer to correct the irregularities rather than placing an implant. The other option for covering irregularities is to use your own temporalis fascia. This can be used to drape over the bridge to make it smoother without the resultant augmentation.
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Correction options for irregular contour deformity of nose bridge
I wish I knew why you have an irregular contour deformity of the dorsum. My first choice would've been correcting the deformity without using a material. If this is not an option, I would recommend using your cartilage. If you also need a significant augmentation then I may consider using an implant.
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Autologous grafts during rhinoplasty
The risk of infection, migration and extrusion for silicone implants along the dorsum is much, much lower than silicone implants in the tip. However, it's still not as safe as using your own tissue and cartilage (autologous grafts). For that reason, I prefer autologous grafts versus synthetic in rhinoplasty.
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Which is Better - a 1mm Silicone Implant, or Using my Own Cartilage for my Nasal Dorsum?
Some surgeons will use silicone, Gore-tex, Medpor for augmentation rhinoplasty. The problems with this approach are infection and possible extrusion of the implant. If you have extra cartilage available (nasal septum, ear, rib) you will be better served using your own tissue which has a much lower risk of complications that synthetic implant, in my experience. I hope this information is helpful.
Stephen Weber, M.D.
Lone Tree Facial Plastic Surgeon
+1
Find a doctor you trust
Whether silicone or all natural tissue is better is debatable. Your surgeon has made a recommendation. If you have doubts about the advice, seek another doctor. I would not ask him to perform a procedure using your own tissue when he obviously feels more comfortable using an implant.
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Autologous tissue better for asian augmentation rhinoplasty
USing your own cartilage, in my experience, is Better than using a silicone implant. There are less chances of infection or implant extrusion. I like using ear cartilage since most Asians have smaller septal cartilages. Good luck and take care!
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Rhinoplasty, cartilage/silicon implant
I prefer your own cartilage being harvested either from your septum or your ear over silicon implant at any time and in any occasion. The surgeon has the ability to shape the cartilage in any size and shape customized to your own need. They would not get infected nor they could become rejected by your body, however it requires finding a more skillful surgeon to perform the operation.
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Your Own Cartilage Is Always A Better Option- As Long As you Have Enough
In almost every scenario it is better to use your own tissue if you can. The chances of infection, movement, and rejection are all higher with an implant that is not yours. The primary reason for not using your own cartilage is if you don't have enough of your own material to do what needs to be done.If you haven't had septal surgery before, you should have plenty of septal cartilage to take the place of a 1 mm implant. It is hard to say for sure without photos, but rhinoplasty surgery is...
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Cartilage for the Asian bridge in rhinoplasty.
If your own cartilage is used you do not have to be concerned with infection. In 35 years of rhinoplasty I have never had to use a foreign material.
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