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What Are the Pros and Cons of Replacing Silicone Implant with Diced Cartilage Wrapped in Fascia?

asked 8 months ago by moving in NY,NY
Latest answer by Barry L. Eppley, MD, DMD
Question viewed 186 times
Tags: silicone implant, cartilage, fascia, pros and cons, safety

I am going to remove my silicone implant of 2mm, and considering to replace it with diced cartilage wrapped in fascia using ear cartilage. First, is the method safe? Does the shape stays the same the entire lifetime? I would like to know any potential complications if there are any and if those potential complications are reasonable to fix.

5 answers to What Are the Pros and Cons of Replacing Silicone Implant with Diced Cartilage Wrapped in Fascia?

+2

Cartilage Graft instead of silicone implant

Nasal implants have been used for many years, but I have encountered a few patients who have found them to be problematic. They can shift over time, extrude ( work their way out through the incision), or be very firm to the touch. If your surgeon recommends using your own tissues, then I agree that the fascia-cartilage technique is helpful. I have had great success with it in difficult noses. There are some drawbacks- mainly the bulk and size of the graft does... more
Michael Suzman, MD

New York Plastic Surgeon

www.westmedgroup.com

+1

Cartilages Graft in Rhinoplasty Better Long-Term Solution Than An Implant

Replacing your silicone nasal implant with diced cartilage would be an excellent choice. Given that you already have an indwelling capsule from the implant, the diced cartilage in its fascial wrap will adapt well to this existing space. In my experience with diced cartilage, I see few if any problems with its use. It will become firm quite quickly and will offer a permanent solution without potential complications, unlike an implant. The only potential issue is enough augmentation and... more
Barry L. Eppley, MD, DMD

Indianapolis Plastic Surgeon

www.eppleyplasticsurgery.com

+1

What Are the Pros and Cons of Replacing Silicone Implant with Diced Cartilage Wrapped in Fascia?

What Are the Pros and Cons of Replacing Silicone Implant with Diced Cartilage Wrapped in Fascia? I just have one comment, why? I have performed Rhinoplasty and Revision Rhinoplasty for over 20 years and IMHO, a straight (not L shaped) silastic nasal implant is the most reliable way to build up the nasal bridge. Taking one out to replace it with diced, ear cartilage wrapped in fascia (dead tissue that surely will dissolve) is taking several steps backwards, IMO.... more
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

Diced catilage for for rhinoplasty

The idea of using diced cartilage to raise the nasal bridge is not new, and has persisted in several forms with differing materials to 'contain' the small grafts. The diced grafts are attractive when there are no other more sizable or workable grafts available. Problems such as shifting, resorption, irregularities, do make the use of a rib cartilage graft more attractive for most. Best of luck, peterejohnsonmd
Peter E. Johnson, MD

Chicago Plastic Surgeon
+1

Diced cartilage implant

Using your own cartilage is always preferable to an implant. The diced cartilage wrapped in fascia technique was introduced by Dr. Rollin Daniel from California a number of years ago. He is a highly respected surgeon and reports good safety and longevity as do other surgeons. Despite that the technique is less then 10 years old so truly long term outcomes are as yet unknown.
Michael L. Schwartz, MD

West Palm Beach Plastic Surgeon

www.palmbeachface.com

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