Gore-Tex implants are great for Asian rhinoplasty
I prefer to use 3D Gore-Tex implants for my Asian rhinoplasty clients. It helps create a beautifully
contoured and balanced look. Gore-Tex implants are safe, effective, and don't require taking cartilage from other parts of the body such as the ear.
Asian Rhinoplasty - Implant options
Surgery with silicone implants is quicker, since they are pre-fabricated and easier to place than autologous grafts (tissue from your own body), and the recovery may be a bit easier. The results may also look good for several years, however they are not a permanent solution. As long as the implant is in place there will be an associated risk of infection, migration, and extrusion (coming through the skin) which is higher than that of autologous grafts.
The reason for the lack of permanence is that synthetic implants never become fully incorporated into your body. Using tissue from your own body will give you the safest, longest lasting results and a beautiful nose. Your own tissue has a much lower risk of infection or extrusion. Cartilage can be harvested from within your nose (septum) or from your ear, through an incision hidden in the crease behind your ear. Even in Asian patients these areas heal impeccably.
Natural Asian rhinoplasty
I agree with Dr. Lee, there is no better alternatives than your own tissue. However, her options include your own cartilage or donor cartilage or a silicone implant. The silicone implant as you pointed out should be the last choice because it's really only practical and patients who want moderate changes to the bridge and have thicker skin. The patient who has thicker skin can have that silicone implant for a very long time and it want show through. If your skin is a little bit on the thinner side for an Asian the implant tends to show.
Chase Lay, MD
Alternatives for nasal implants
Use your own tissue to build up the bridge. Cartilage from your septum and your ear will be sufficient to build your bridge without having to resort to rib. There's no more a natural look than using your own tissues.
Asian bridge implant options
Besides silicone implants other options include using your own cartilage (septum, ear, or rib). Other materials that implants can be made of include gortex and portex. Depending on your goals there are several options. I tend to prefer using patient's own tissue for these types of cases, but with bridge augmentation a synthetic implant can have its place, if you understand the risks.
An in person exam woul allow for a better evaluation of your options and a more detailed discussion of the pros and cons of the various approaches.
Asian rhinoplasty and nasal implant options
Silicone implants are often used in Asian rhinoplasty and work quite well as long as the implant size is not too large. This is the typical problem where it is more than obvious an implant has been placed. Too big of an implant will leave a high bridge and will create the illusion of a high sidewall. The silastic implants usually do not shift over time unless they are too big and cause pressure necrosis of the skin. The implants we prefer are the silastic flowers nasal dorsal implants manufactured by Implantech. They come in small, medium, large, and extra large. Most patients will require either a small or a medium.
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Nasal surgery, rhinoplasty,nose implants, cartilage, rib grafts
There are many alternatives for enlarging the bridge of the nose. I usually use silicone implant for it involves less trauma to the nose and is tolerated quite well by the patient. However, the things you mention may occur. I have used other alternatives like even a rib graft. I try to discuss various options with my patients and we chose what fits them best.
Nasal bridge implant for Asian rhinoplasty patients
Thank you for sharing a photograph. Based on the single photograph and your personal goals, a conserviative skin excision to narrow the nostrils might be more appropriate than a nasal implant.
Nasal augmentation of the bridge is a common part of rhinoplasty in Asian patients. Augmentation material is typically "plastic" material such as goretex or silicone. While one's own cartilage is generally preferred to augment the bridge, there may be insufficient nasal cartilage to provide adequate augmentation. Ear cartilage is another option. As a result, many plastic surgeons will use either of these materials. Both materials have advantages and disadvantages. There is a possibility with either implant that it may problems such as movement/shifting or infection, which may require removal.
Only after a comprehensive evaluation can a plastic surgeon help determine appropriate options for you. Best of luck.
I suggest that you stay away from silicone nasal implants. They frequently shift, get infected, are palpable, and have a high rate of revision. Use your own cartilage or simply try a non surgical approach with Radiesse injections. Good Luck! Dr Grant Stevens
Silicone implants are frequently used to augment the bridge in Asian rhinoplasty because it is technically easier for the surgeon and the patient's recovery is relatively short. However, complications such as graft movement and post-op infection are more frequent. I prefer to use the patient's own cartilage which will become incorporated into the patient's normal surrounding tissue.