The best nasal implant is your own natural tissue

Peter E. Johnson, MD answers: What is the most stable nose bridge implant material?

I had a bovine implant to give my nose bridge more projection after an fracture.

It was removed after seven years due to warping and replaced by a proplast material.

Given this implant is showing signs of warping, what man made material should be used to give the best long term results?

Thanks in advance.


Peter E. Johnson, MD
20 days ago

There are many type of tissue substitutes used for lifting the nasal bridge such as solid silicone, medpor, as well others. From the surgeons standpoint it is nice to feel that there is something 'off the shelf' which has little potential for future troubles. Implants can cause thinning of the skin, stiffness, late infection, and become visible over time. It is for these reasons most rhinoplasty surgeons will use natural tissues from within the nose, ear, or elsewhere to provide the shape and support needed for the nasal bridge and tip. Despite the increased effort nothing will do better over time than the 'real thing'. Implants are reserved as a last resort by many nasal surgeons.

Best of luck,

peterejohsonmd

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A: Nasal bridge material

Otto Joseph Placik, MD
21 days ago

Medpor is possibly the most stable long term implant with least capacity for long term warping. However, if infected or if you desire removal, it can be quite difficult and cause other problems. Without a doubt the best implant is your own tissue. 

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