Rhinoplasty Grafting; Medpor vs Rib Graft?

without looking at the infection or extrusion rate and basing this purely on aesthetics, when augmenting an ethnic nose - does using rib graft have a different or better look than medpore?. if so describe?. i have had two medpore implants put in but some doctors say they dont like the shape of medpor. i get paranoid at times they may be right as their opinion is falling onto me now.

Doctor Answers (12)

Grafts to augment ethnic nose

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Medipore implants and rib grafts are very hard substances in the nose and can give an unnatural feel.  Augmentation of the bridge is always best done with nasal cartilage, however, an alternative would be silastic implants which harden very well with a natural feel.  These implants are often used to augment a flat Asian nasal bridge.


Seattle Facial Plastic Surgeon
5.0 out of 5 stars 60 reviews

Rhinoplasty Grafting; Medpor vs Rib Graft?

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 The aesthetics, of the nose, with Rhinoplasty depends on the Rhinoplasty Surgeon understanding and following the proper aesthetics of facial (and nasal) beauty for the creation of a naturally, more attractive nose and face...not on the material of the nasal implant.  

  Once, the proper aesthetic plan has been formed, the type of material of any implants to be used during Rhinoplasty can be factored into the Rhinoplasty plan.  Some materials like rib bone/cartilage tend to dissolve unevenly over the years and as such are less reliable, IMO.  Medpore implants become incorporated into bone and are therefore less desirable, IMHO, than the straight, silastic dorsal implants.  

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

Dorsal onlays

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A nicely contoured implant or rib graft can look equally fine, however you are probably better off with autologous rib.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

Medpor vs Rib Graft in Revision Rhinoplasty

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Aesthetically an excellent result can be achieved with either material in the hands of a surgeon experienced with the use of both. Although it is more difficult for the patient after surgery when rib cartilage is harvested, for 35 years I've preferred using the patient's own tissue.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 16 reviews

Medpore vs rib graft for augmenting the bridge

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Either medpore or rib cartilage can acheive equally good results aesthetically. I prefer the safety profile of rib cartilage myself but either can be shaped similarly to achieve the desired effect.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 15 reviews

Rhinoplasty Grafting; Medpor vs Rib Graft in Ethnic Patients

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Hi,

The aesthetic result you get will depend on your surgeon experience and abilities when it comes to Ethnic Rhinoplasty. Whether the surgeon uses Medpor, Rib Graft, gortex or silicone doesnt matter. What matters is the surgeons ability to shape the implants into the custom fit for your particular nose. Remember your surgery is not being performed by Dr. Medpor or Dr.Rib graft. Make your decisions on the surgeons abilities rather than what implants he/she uses. BTW I have used silicone nasal implants for 15 years with very good results.See link below.

Best,

Dr.S.

Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
5.0 out of 5 stars 217 reviews

Aesthetic Appearance of Medpor vs Rib Graft Rhinoplasty

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This is a classic debate in dorsal augmentation of the nose and there are arguments for and against a synthetic versus a rib cartilage graft. Neither operation is perfect and each has its own unique set of problems. But when it comes to purely how it looks, there is no visible difference in the aesthetic results obtained provided both grafts are shaped similarly. 

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon
4.5 out of 5 stars 32 reviews

Medpore vs. Rib Graft Rhinoplasty

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A god result can be obtained with either an artificial implant such as Medpor, or a carved rib graft. Each has its own advantages and disadvantages.

Medpor can become infected, leading to scar, distortion, and even tissue loss. Restoring the nose after an infection and implant removal can be difficult. On the other hand Medpor is smooth, doesn't warp, and requires no donor site.

Rib grafts require a second surgical site, can warp on occasion, and also takes a longer operation. Infections, however, are extremely rare.

There is no perfect solution. The skill and experience of your surgeon is the most important factor.

Ira D. Papel, MD
Baltimore Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

Which looks better an Implant or a Rib Graft in the nose

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Both an implant and a rib graft are designed to fill a space in the nose to typically enhance projection of the dorsum. The appearance is changed by the volume of the implant not what the implant is made of. You could inject the nose with sterile water and it would achieve the same change for a few minutes.

Jay M. Pensler, MD
Chicago Plastic Surgeon
4.5 out of 5 stars 10 reviews

Medpore vs rib

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Both will give a good cosmetic result.  Both can be carved to shape.  The surgeon is the determining factor in most results.  Donald R. Nunn MD  Atlanta Plastic Surgeon.

Donald Nunn, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 5 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.