Cartilage or Implants for Rhinoplasty? Doctor Answers, Tips
Rhinoplasty: Q&A
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Cartilage or Implants for Rhinoplasty?

Hi, I am thinking about getting rhinoplasty. Can you tell me more about cartilage & silicone implants? Is one more expensive than the other? I think I have plenty of cartilage in my nose to get a bridge augmentation, but what do you think from my photos? What is the lowest age that people can get cartilage implants safely?

6 Doctor Answers | Asked by missglamour842
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Your own cartilage is the gold standard

Dear Missglamour842, Unfortunately your picture did not upload but in general we tell patients not to make decisions regarding their face and especially their nose based on the cost difference. You really should look for a surgeon who specializes in rhinoplasty and have a discussion in depth with them regarding the risks and benefits of all your options and exactly what they would recommend and do for you. In our own practice we find computer imaging is a great... more
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The choice of implants to raise the bridge of your nose can vary by how much you need and surgeon's choice

There are a number of factors that determine what a surgeon chooses to raise up the bridge (or dorsum) of the nose. Cartilage from your septum may work. Other choices are solid silicone (I personally never use this), Gortex (i use this sometimes). A wonderful procedure that is getting more popular is dicing up your own cartilage from your septum and from a hidden part of your ear and wrapping it in what is called fascia (natural tissue of your own as well). You should see a rhinoplasty... more
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Your own tissues are always a better choice.

Silicone implants are not commonly used in rhinoplasty in this country. If you need an increase in profile height, most surgeons would usually prefer to use your own cartilage for grafting. As long as you have stopped growing, you can have cartilage grafts. Unfortunately your photos did not show up so I cannot comment specifically on your needs. Silicone, like any artificial implant, is prone to infection. Happy to see you if you wish.

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The Use of Cartilage or Implants for Rhinoplasty

In my opinion cartilage is the best choice for bridge augmentation in Rhinoplasty. My reasons for utilizing this approach are: the cost of using cartilage is usually less than when using a silicone implant less of a complication with the possible extrusion of the silicone implant less of a potential problem with infection using ones own tissue is much better that using a synthetic implant some states require the patient to be 18 or older in order to receive a... more
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Rhinoplasty with Implants

Hi, I wouldnt worry about the cost too much it shouldn't change the price of the surgery. Custom carved silicone implants have the volume and exact shape to fit your nasal bridge. Cartilage grafts can work only if very little elevation is needed. Best, Dr.S. see video
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Cartilage vs Implants in Rhinoplasty Surgery

In 35 years of rhinoplasty surgery I've always preferred using the patient's own tissue, their cartilage, to augment the bridge because it will become integrated into the surrounding normal tissue. With implants there is always increased risk of implant movement or extrusion as well as infection. You do have adequate cartilage for the procedure which can be done any time after a patient is physically mature, for a lady 14-16 years old.
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