Man Made Material for Nasal Augmentation

Richard W. Fleming, 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.

4 months ago

By Richard W. Fleming, MD - Beverly Hills Facial Plastic Surgeon

I do not use man made material for nasal augmentation. I prefer the patient's own cartilage which will become incorporated into their surrounding tissue. Unfortunately, you are an example of the problems that can occur with alloplastic material.

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More answers to “What is the most stable nose bridge implant material?”

A: Septal Cartilage is the best.

4 months ago

By Toby G. Mayer, MD - Beverly Hills Facial Plastic Surgeon

I have many patients over the past 30 years that I have used cartilage in their nose. It lasts forever and does not have warping issues if properly done. I never use foreign material. If their isn't enough cartilage in the septum I go to the ear, etc.

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A: Rhinoplasty, What is the Best Man Made Material for Nasal Bridge Implantation

4 months ago

By Michael A. Persky, MD - Los Angeles Facial Plastic Surgeon

Hi John,

Since you are asking for the best man-made material to be used as a nasal implant, I will assume that you do not have any of your own nasal septal or ear cartilage available.

I have used both Medpor (made by Porex, see web link below) and Gortex in the past in less than a handful of patients. They all have done very well without warping, infection, or the need for removal. The aesthetic results are very good, but not perfect.

The other alternative is your own rib cartilage, but even the best hands it may warp as well.

Good luck and be well.

Dr. P

Web reference: http://www.porexsurgical.com/english/surgical/nasalproducts.asp

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