Whenever I laugh, my nose spreads out a little wide. I like the size of my nose, but would like to increase the height of my nose bridge. If I get implants, will my nose get narrower? I don't want it to get smaller, I just want it to be taller. I heard that there are many options and I want something that looks natural and is permanent. I was informed that Silicone implants might shift overtime and I don't want that. What would be the best choice for me?
Best Implant for Asian Rhinoplasty?
Doctor Answers 17
Best Implant for Asian Rhinoplasty is NOT an Implant
I just saw this question and thought I'd chime in with an answer that is contrary to many of the answers here:
In my opinion, the best implant for the nose is to never to use an implant in the nose, but rather to use your own materials. Look elsewhere here on RealSelf as I have several answers as do others that discuss cartilage grafts and diced cartilage grafts for augmenting the nose.
Hope this helps,
Nick Slenkovich, MD FACS
Best Implant for Asian Rhinoplasty?
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Avoid implants for rhinoplasty
The answer is simple. The best implant is your own cartilage. This is how the great masters of the past current time and future perform rhinoplasty. The only reason that silicone implantation is popular in asian noses is that it is easy and quick and generally the thick skin of an asian nose tolerates the implant well. I NEVER place artificial implants in my practice because of the inferior aesthetic result, movement, lifetime risk of potentially devastating complications including infection and extrusion. I suggest that you visit a plastic and reconstructive surgeon well versed in advanced rhinoplasty the way rhinoplasty should be done- by tailoring a cartilage scaffold to make your nasal tissues drape naturaly and beautifully with no foreign body!
All the best!
Rian A. Maercks M.D.
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Implants for Asian noses
You are correct, there are many options for nasal implants in Asian patients. They do include Silicone, Gortex, Medpor and other synthetic materials. Having practiced in Californiafor many years, where we have a significant Asian population, I have seen many problems with these implants. I personally recommend using the patient's own nasal septal or ear cartilage, feeling long term results are improved with fewer complications.
Asian rhinoplasty is augmented safest with you own cartilage
Foreign materials such as silicone, gortex, etc. make the operation faster for the surgeon. However, in 30 years of rhinoplasty I have removed many of these implants secondary to infection. I have never had this problem using your own cartilage. See an experienced rhinoplasty surgeon who has done many Asian noses.
Implant for nasal bridge augmentation in Asian rhinoplasty
The best implant for Asian rhinoplasty is a silicone nasal implant. We have lots of experience with the Flowers nasal dorsal implant, which is a small wafer cartilage placed only in the dorsum. We avoid using the L-shaped struts because they tend to warp, move, migrate and shift. A small- to medium-sized dorsal implant of silicone is what we would recommend.
See surgeons to determine best implant for your Asian Rhinoplasty
As you can see from the number of expert posters there are many, many choices. Over the internet can only add to your confusion to which implant I or the other experts like. GO see 3 opinions from boarded surgeons who do nasal implant and than determine after your in person evaluations which can be your best choice.
Dorsal Nasal Augmentation
Dorsal nasal augmentation can be performed to raise the dorsum and give the allusion of narrowing the nose in the upper 2/3's. This can be accomplished with your own cartilage, irradiated cartilage, or like you mentioned a Silicone Implant.
I think a Porex implant gives an excellent result for Asian nose bridge
As Dr. Pearlman has noted there are a variety of options for adding height to the bridge of the nose. I agree with him that Silicone is not a good choice due to mobility. I have recently been very pleased using an implant made by the Porex company that is designed to have your own tissues grow into the implant which makes it rock solid and minimized risk of infection. Unlike a cartilage implant it also will not warp or bend over time.
Consider using your own cartilage
Silicone implants are very popular among surgeons because they make the procedure technically easier. However, you are right...we often find that silicone implants can give the bridge and tip an overly narrowed, blockish, and unnatural look because the implant itself is a long, narrow fairly rigid block. There is also potential for shifting of the implant and thinning of the skin over time because of these features.
Instead of using a one-size-fits-all approach, we prefer to use your own cartilage to build up your bridge and reshape the tip if needed. In our practice, we most often use cartilage from your own septum and rarely ear cartilage if necessary to accomplish this. Because this is your own cartilage, it can be tailored specifically for you to create a contour that is naturally beautiful and seamlessly adds to your own anatomy. The recovery time is similar to a standard rhinoplasty. You should be feeling pretty comfortable being seen within about 7-10 days after surgery.
Good luck and feel free to contact us with any further questions.
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.