So I have read that silicon in the bridge can shift to the side or up and down. And the tip eventually droops? I don't really understand why the tip can drop down. If it because the cartilage that extends the tip forwards moved down? And the bridge, is it because you slept on one side all the time? Touched it frequently? Please explain it to be in detail so I can understand their situation.
Answer: Rhinoplasty silicone in bridge and tip plasty, bridge silicone shifts to the side and tip droops down? Out of all of the possible implants that can be placed over the nasal bridge, silicone implants are probably the least ideal. The nasal dorsum is convex, offering a potentially unstable base whereupon to stabilize a synthetic implant. In addition, silicone implants do not allow for tissue ingrowth and heal in place by capsular formation, which can more likely lead to implant deformation and warping. In addition, because there isn't a firm support base and no possibility for implant tissue ingrowth, silicone implants can more easily shift up and down. In addition, because of the thin overlying skin, the implant can also can begin to extrude at any point following surgery, sometimes even many years after placement, such as after minor trauma to the nose. The position of the tip will only be affected if the implant was to push into the tip and cause it to rotate. Most surgeons will agree that the best graft for your nose is septal cartilage, followed by ear or rib cartilage. If, for some reason, obtaining the cartilage is prohibitive to you or deemed not worthwhile, irradiated cadaveric costal cartilage is also available. If you must choose a synthetic implant, Gore-Tex (expanded polytetrafluoroethylene, ePFTE) is probably the most ideal for nasal augmentation presently. ePTFE is microporous and allows for some tissue ingrowth that both stabilizes and protects the implant. It is also very durable, non-reactive, and can be more easily removed than other porous implants. Best of luck to you!
Helpful
Answer: Rhinoplasty silicone in bridge and tip plasty, bridge silicone shifts to the side and tip droops down? Out of all of the possible implants that can be placed over the nasal bridge, silicone implants are probably the least ideal. The nasal dorsum is convex, offering a potentially unstable base whereupon to stabilize a synthetic implant. In addition, silicone implants do not allow for tissue ingrowth and heal in place by capsular formation, which can more likely lead to implant deformation and warping. In addition, because there isn't a firm support base and no possibility for implant tissue ingrowth, silicone implants can more easily shift up and down. In addition, because of the thin overlying skin, the implant can also can begin to extrude at any point following surgery, sometimes even many years after placement, such as after minor trauma to the nose. The position of the tip will only be affected if the implant was to push into the tip and cause it to rotate. Most surgeons will agree that the best graft for your nose is septal cartilage, followed by ear or rib cartilage. If, for some reason, obtaining the cartilage is prohibitive to you or deemed not worthwhile, irradiated cadaveric costal cartilage is also available. If you must choose a synthetic implant, Gore-Tex (expanded polytetrafluoroethylene, ePFTE) is probably the most ideal for nasal augmentation presently. ePTFE is microporous and allows for some tissue ingrowth that both stabilizes and protects the implant. It is also very durable, non-reactive, and can be more easily removed than other porous implants. Best of luck to you!
Helpful
December 9, 2014
Answer: Silicone in nasal bridge I'm not sure if you are referring to a silicone nasal implant or silicone injected into your nose to fill in certain areas. If you are referring to a silicone implant, there is always the possibility that it can shift if not placed in a tight pocket. There are other reasons why an implant moves and can range from trauma to infection. Depending on how the implant is placed will determine the ramifications it will have on the nasal tip. Some implants have an extension that provides tip augmentation simultaneously. In any case, if you are considering augmentation to your nasal bridge, I would encourage you to use autologous tissue which means cartilage and soft tissue from your own body. There is a lower incidence of infection and is equally effective to create the look you want with less risk involved. If you are seeking a rhinoplasty, make sure you go to a rhinoplasty specialist so you are able to explore all your options.
Helpful 1 person found this helpful
December 9, 2014
Answer: Silicone in nasal bridge I'm not sure if you are referring to a silicone nasal implant or silicone injected into your nose to fill in certain areas. If you are referring to a silicone implant, there is always the possibility that it can shift if not placed in a tight pocket. There are other reasons why an implant moves and can range from trauma to infection. Depending on how the implant is placed will determine the ramifications it will have on the nasal tip. Some implants have an extension that provides tip augmentation simultaneously. In any case, if you are considering augmentation to your nasal bridge, I would encourage you to use autologous tissue which means cartilage and soft tissue from your own body. There is a lower incidence of infection and is equally effective to create the look you want with less risk involved. If you are seeking a rhinoplasty, make sure you go to a rhinoplasty specialist so you are able to explore all your options.
Helpful 1 person found this helpful
