Asian Rhinoplasty Q&A
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Asian Rhinoplasty - Synthetic or Natural Cartilage?

asked 8 months ago by anon
Latest answer by Charles S. Lee, MD
Question viewed 322 times
Tags: best, cartilage, natural, options, outcome, recommendation, results

Is using natural cartilage from the septum or synthetic material better if I have an Asian Rhinoplasty to correct my low bridge?

9 answers to Asian Rhinoplasty - Synthetic or Natural Cartilage?

+1

Dorsal augmentation material

I have switched to using all natural tissue for dorsal augmentation several years ago and have seen a dramatic improvement in the results. Synthetic material has too many problems, both short and long term.
Charles S. Lee, MD

Los Angeles Plastic Surgeon
+1

Synthetic implant or cartilage to augment Asian nasal bridge

For Asian rhinoplasty a synthetic material such as silastic plastic is preferred. The implant is placed over the nasal bridge. This is better augmentation material, as it is much smoother and works much better in the Asian rhinoplasty population than traditional stacked cartilage grafts from the nose.
William Portuese, MD

Seattle Facial Plastic Surgeon
+1

Is using natural cartilage from the septum or synthetic material better if I have an Asian Rhinoplasty to correct my low bridge?

This is a very common question here that I have answered many times. I have performed Rhinoplasty for over 20 years and IMHO, the straight silastic dorsal nasal implant is the superior option for building up the nasal bridge. Septal cartilage is rarely long ebnough and ear, rib or banked cartilages all can dissolve unevenly over the years, IMO.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

Cartilage vs Synthetic Material to Augment Asian Nose

Whenever possible I prefer to use the patient's own cartilage, rather than use synthetic grafts or cartilage from another individual, to augment an Asian nose. There is no risk foreign body reaction and movement of the cartilage is very rare.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

It might depend on your long-term goals.

There are multiple ways to raise a low dorsal bridge of the nose. If you want a temporary correction you can have a non-surgical rhinoplasty with injectable materials such as: hyaluronic acids (Restylane, Juvederm, etc.), Radiesse, or your own fat. The advantages are a quick recovery, little discomfort, and immediate results. The disadvantages are contour irregularities, lack of permanence, and more difficulty when converting to a surgical rhinoplasty. As far at... more
Manish H. Shah, MD

Denver Plastic Surgeon
+1

Asian Rhinoplasty - Synthetic or Natural Cartilage?

Augmenting the bridge using a silicone implant is a popular technique in Asian Rhinoplasty. And synthetic implants can be used safely. However, there is a risk for a late stage infection with silicone and other synthetic materials. Septal cartilage can be a great option provided the patient has adequate septal cartilage for graft placement. It is easy to harvest and has a lower risk of infection than a synthetic material.
Suzanne Kim Doud Galli, MD, PhD

Washington DC Facial Plastic Surgeon

www.restonfacialplastics.com

+1

Asian rhinoplasty

My preference for Asian Rhinoplasty is your own cartilage. There is less chance for reaction and rejection and other complications. However, synthetic material (Goretex, silastic, Medpor) can all be used with excellent results. So, if septal cartilage (from the nose) is enough, stick with that. If the bridge is too deficient, then we need to decide if rib cartilage or synthetic material is right for you. When it comes to rib... more
David Alessi, MD

Beverly Hills Facial Plastic Surgeon
+1

EPTFE (GoreTex) may be used during Rhinoplasty Surgery to add height to the bridge of your nose.

I read your concern: In my practice, if Rhinoplasty surgery is needed and if there is a low nasal-bridge, I prefer to use a synthetic ePTFE implant. I like the quality of material from Implantech which is similar to GoreTex implants that are no longer available.Whenever you have a foreign body placed in your nose, there is a low risk of infection or extrusion (<5%). Many surgeons prefer rib cartilage, septal cartilage, or ear cartilage for nasal-bridge augmentation. Nasal... more
Eric M. Joseph, MD

West Orange Facial Plastic Surgeon
+1

Asian Rhinoplasty

I prefer to use your own septal cartilage to avoid the complications I have seen in patients who have had their surgeries with others using synthetic materials. Please make sure you see a board certified facial plastic surgeon who performs Asian Rhinoplasty before you proceed with this. I have seen many unhappy patients from having their surgeries done abroad using synthetic material.
Kimberly Lee, MD

Beverly Hills Facial Plastic Surgeon

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