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 19
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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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.
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.
Asian rhinoplasty and dorsal (bridge) augmentation
Unfortunately, there are many differing opinions when it comes to nasal implants or dorsal augmentation or enhancement of the bridge.
Temporary augmentation can be achieved non-surgically with fillers. Although Radiesse is popular, it can remain present for many years and some other surgeons prefer the use of hyaluronic acid fillers (i.e., Restylane, Perlane). Some have even injected fat into the dorsum.
When it comes to surgical augmentation this can be achieved with grafts (from yourself and called autogenous or from cadavers) or with implants.
- Ear cartilage
- Rib cartilage
- Hip carilage or bone
- Skull bone
- Porous polyethylene
- PTFE (Gortex)
What is the Best Implant for an Asian Nose That Needs an Augmentation Rhinoplasty or Nose Job?
This question can be answered in a number of ways but let's consider it from a non-surgical and a surgical approach.
Fillers can work well for some patients to give then a stronger, more defined bridge to their nose. I have found that Bellafill works great for this problem and it is very long lasting so that you do not have to keep coming back.
Surgically, we can use your own tissue, specifically cartilage grafts from the septum, ear or ribs to augment the nose. This works well and has fewer potential complications from the graft placement but can add expense and a second surgical site on your body which can have complications.
Surgical implants include silicone nasal implants which are the most common and many other implants like Medpore nasal implants or Gortex. Of these implants, the soft silicone usually works very well.
It really comes down to what is best for you. Your concerns and goals need to be matched to the implant that is right for you. There is no absolute best.
I hope that helps.
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.
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.
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.