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What is the Safest Material for Asian Nose Bridge Augmentation? (Rhinoplasty)

asked 1 year ago by Montebello1346 in Montebello, CA
Latest answer by Charles S. Lee, MD
Question viewed 2,617 times
Tags: bridge, silicone implant, cartilage, Gore-Tex, safety

I've heard of Goretex, Silicone, and cartilidge for augmentation of an asian nose bridge. What are the respective costs of each material and in your opinion the safety/effectiveness in the short and long term of these materials. mostly I would like permanency and a low risk of infection. For a very flat nose bridge that needs a significant augmentation, which material sounds good?

25 answers to What is the Safest Material for Asian Nose Bridge Augmentation? (Rhinoplasty)

Best material for raising the bridge

I like a combination fascia, along with your own cartilage, either diced or a whole intact piece.

Charles S. Lee, MD
Los Angeles Plastic Surgeon

Silicone implants have been safe and economical way to augment Asian nose

I have had alot of success over the past 28 years augmenting Asian noses using silicone implants. I believe that they are safe and effective, and economical. Usually they give very good results. Other materials including the patient's one bone, cartilage, and other synthetic material have been tried and used successfully. All materials have their potential for complications and you should consult with a board certified plastic surgeon to discuss the pros and cons... more

James Tang, MD
Houston Plastic Surgeon

Composite Reconstruction with Diced Cartilage and Fascia

I am partial to a patient's own tissue as a method to raise of the bridge. This can include rib, septum, or ear cartilage along with an aesthetic layer of diced cartilage and fascia. Synthetic implants are indicated in some cases in my practice, but few and far between. It should be clear, though, that tens of thousands of dorsal implants have been placed successfully in patients over the years so this is not a terrible choice. However, when Medpor comes through... more

Jay Calvert, MD
Beverly Hills Plastic Surgeon

Best material for building up nasal bridge

I prefer using a patient's own tissue for augmenting the nasal bridge (septal, ear or rib cartilage) as it is incorporated into the nose in the most natural manner. There are risks with warping of cartilage grafts (mainly rib cartilage) but by using advanced cartilage carving techniques I have not found this to be an issue in my own practice. Silicone, medpore or gortex are alternative implant materials that can be used. They are more commonly used in patients with thicker... more

Thomas A Lamperti, MD
Seattle Facial Plastic Surgeon

Safest material for augmenting nasal bridge

Silicone implants are the best implant and tolerated quite well if used conservatively in an Asian patient’s face. The cost of a rhinoplasty is approximately $6000, which includes the operating room, anesthesia, and the surgeon’s fee for performing the procedure. On a rare occasion the implants can get dislodged or crooked and needs to be removed and reimplanted, which is a relatively easy touchup procedure. Gortex has is more likely to become infected, has more tissue... more

William Portuese, MD
Seattle Facial Plastic Surgeon

Nasal Augmentation

The use of your own tissue is the safest for nasal augmentation. Sources of this tissue include bone and cartilage from the nose, or ear cartilage or bone from the iliac crest. Temporary improvements can be achieved with fillers like Hyaluronic acids like Juvederm or Restylane.

Todd B. Koch, MD
Buffalo Plastic Surgeon

Rhinoplasty Material to Build the Bridge

Hi Montebello1346, As other rhinoplasty surgeons have stated, cartilage is generally the ideal material to build the bridge. Cartilage is typically obtained from the nasal septum or ear. Occasionally, rib cartilage may be required for rhinoplasty. Goretex and silicone have been used with good results for rhinoplasty too. Rhinoplasty surgery is permanent, but revisions may be required as needed. Foreign materials, such as Goretex and silicone, have a higher chance of infection as... more

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon

Cartilage is the safest,

I have used septal or ear cartilage for 35 years and have never had any infection or rejection. Therefore, I feel it is the best.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Safest Material in Rhinoplasty? Cartilage

There is really no question that your own cartilage (septal, auricular, or rib) is by far the safest and most preferable material for use in augmenting the nasal structure in Rhinoplasty. Non-native materials are generally utilized only when there is a lack of autogenous cartilage available. Any foreign material carries with it the life-long possibility of extrusion when used in Rhinoplasty.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon

Rhinoplasty - Dorsal Augmentation

Great question...I think honestly, that building a dorsum using your own tissue is the absolute BEST option. I have taken too many Silicone, Goretex, and the like, grafts out that I do not think it is worth the lower cost. The material is a foreign body and like other implantable materials, is not completely tolerated by the body. Diced cartilage with deep temporal fascia graft for a low radix and dorsum is best. Hope this helps! Good luck.... Dr. C

John Philip Connors III, MD
Atlanta Plastic Surgeon

Nasal Dorsum Augmentation with Cartilage

I feel that the best material for augmentation rhinoplasty is cartilage. Being autologous (natural tissue from your own body), the risks of infection, extrusion and rejection are greatly diminished. Also, cartilage can be shaped and molded to specifically fit your nose. I suggest a combination of rib cartilage and temporalis fascia graft for augmentation in the Asian nose. This combination provides a safe, effective, and cosmetically pleasing result. more

Anthony Corrado, DO
Philadelphia Facial Plastic Surgeon

Best substance for nasal augmentation

Cartilage or rib are the two best options. However, companies make silicone and medpor (coral-like) that are routinely used for this. There is a higher infection rate, however.

Gary D. Breslow, MD
Paramus Plastic Surgeon

Natural living tissue is the best for nasal bridge

There is no question that your own tissue is the best for raising the bridge of the nose often indicated for and Asian rhinoplasty. Any artificial material poses a higher risk of later infection or exposure through the skin, even years after the procedure. Cartilage grafts are available from several areas in the body and are well worth the effort. Best of luck, peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon

Cartilage is the ideal rhinoplasty augmentation material

Cartilage, either your own or irradiated donor rib cartilage, works well for dorsal augmentation. It is effective, can be sculpted contoured, and is something that the human body is used to seeing. There is always the possibilty of warping or bending over time, but of all of the available options, the pros outweigh the cons when it comes to cartilage.

Anurag Agarwal, MD
Naples Facial Plastic Surgeon

Your own tissue is the best!

Without question, when available, your own tissue is always best to use. Cartilage from the nose, the ear, or the rib are the most commonly used tissues. Each of these can be removed with only small scars and without leaving a deformity from the harvested site. Occasionally bone from the skull can also be used to augment the dorsum. In addition, for coverage of subtle irregularities, temporalis fascia (tissue that lines the temporalis muscle on the side of the head)... more

P. Daniel Ward, MD
Salt Lake City Facial Plastic Surgeon

Safest Material for Nose Bridge Augmentation: Human tissue

Studies have consistently shown human tissue (your own or donors) to be best for nasal augmentation. I believe cartilage from the rib is best and can be obtained from donors (usually generous, young people who donated their body parts to science) whose ribs have been irradiated to prevent host rejection. The advantages are: 1) Safety 2) Low incidence resorption or warping 3) Low incidence of infection 4) Good tissue match 5) Ability to mold/shape the graft more

Anand D. Patel, MD
Austin Facial Plastic Surgeon

Rhinoplasty - materials for augmentation

As a fellow Asian woman - I completely understand what you mean by an "asian bridge"! In general, using material from your own body has the least chance of rejection, extrusion, or infection. Also, it is the cheapest. If you need a lot of augmentaion, you can get more bulk by using rib cartilage which is also sometimes wrapped in fascia (another piece of your own tissue). Best of luck! Dr. Cat Huang Begovic

Catherine Huang-Begovic, MD
Beverly Hills Facial Plastic Surgeon

The best is your own tissue

Your emphasis was on the safety and your own tissue will be the safest material. Cartilage from the ear and the rib are the safest,but you Will have scar from the donor site. The worst material would be silicone injection because of the difficulty removing the material later when patient starts to have reaction to the silicone .

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

You may consider a Non-Surgical Rhinoplasty to increase the height of the bridge of your nose.

If you're just looking to increase the height of the bridge of your nose, a well-performed Injectable Filler treatment may be something for you to consider. My personal preference is to use Silikon-1000, an off-label filler, for pernanent results. I hope this is helpful for you.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

Nasal Implants

Hi, For significant augmentation, I prefer custom carved silastic implants. I have been using this implant for the past 10 years and had one incident out of hundreds where the implant needed to be removed because of infection. Silicone implants get a bad rap because usually surgeons use "out of the box implants" . These implants are not custom fit and can extrude much easier. The key is to use an a custom carved implant placed in a precise implant pocket over the bridge of... more

Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon

Nasal Dorsal Augmentation: Material Evaluation

There is not an easy answer to this because there are risks and benefits to all approaches. A great deal depends on the amount of augmentation. For a nose that need significant augmentation it becomes more complex. Yes, cartilage is a very good choice for nasal augmentation, the risk of infection is low and although a small amount will resorb, it tends to be fairly stable for mild augmentation. There is a limit to how much cartilage you can take out of the septum and... more

Joseph Campanelli, MD
Minneapolis Facial Plastic Surgeon

Cartilage is Best For Augmenting the Nose

For Rhinoplasty surgery, I avoid using artificial materials such as silicone or Gore-Tex implants. While many people will not have problems with these implants, there is a significantly higher risk over time of problems including late infection, visibility of the implant through the skin, or movement of the impant. I prefer cartilage for augmenting the nose and have found this safe, reliable and over the long term it should have the lowest rates of infection. For most augmentation... more

Nick Slenkovich, MD
Denver Plastic Surgeon

What is the Safest Material for Nose Bridge Augmentation? (Rhinoplasty)

Regarding: "What is the Safest Material for Nose Bridge Augmentation? (Rhinoplasty) I've heard of Goretex, Silicone, and cartilidge for augmentation of an asian nose bridge. What are the respective costs of each material and in your opinion the safety/effectiveness in the short and long term of these materials. mostly I would like permanency and a low risk of infection. For a very flat nose bridge that needs a significant augmentation, which material sounds good?" In the... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Cartilage is preferred for nose augmentation

Cartilage is the optimal and preferred tissue for augmenting the augmenting the nasal bridge. IT will last the longest with the lowest rate of complications.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Nasal augmentation

The best material for nasal augmentation is using your own cartilage whether from your nose or your ribs. That is the cheapest.

Steven Wallach, MD
Manhattan Plastic Surgeon

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