Best Implant for Asian Rhinoplasty?

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?

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?

In my opinion, the best implant for rhinoplasty in general is the patient's own cartilage.  The Asian nose has traditionally been receptive to implants such as silicone, but I do not recommend them over your own cartilage.

For more information, please go to my website at:
WirthPlasticSurgery.com

Garrett A. Wirth, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 8 reviews

Asian rhinoplasty

The most commonly used implant for asian rhinoplasty would be a silicone implant.  While many of my colleagues have reservations about this, silicone implants are commonly used in Asia and when the surgery is performed properly, the risk of problems is minimal.  The problems that I see from other patients are when too large an implant is placed, or an L-shaped implant is used.  The preference among most experienced Asian rhinoplasty surgeons is for an I shaped implant, an implant that does not extend into the tip of the nose.  Another problem I often see is how the implant is placed.  The implant can be placed below the periosteal layer (my preference) or below the skin.  When the implant is placed under the skin, the implant shifts with pressure to the nose and the edges of the implant become visible.  Deeper placement of the implant works much better and it can be often be difficult to determine whether an implant is present or not when placed in this manner.

An implant alone will make the bridge appear narrower.  You may need reshaping of the tip of the nose with cartilage if the bridge is done.  If you feel your nose widens when smiling, the base of the nose may need to be narrowed as well.

Aloha,

Shim Ching, MD

Shim Ching, MD
Honolulu Plastic Surgeon
4.5 out of 5 stars 26 reviews

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.

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.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.5 out of 5 stars 93 reviews

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.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 24 reviews

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.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 26 reviews

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.

Steven Wallach, MD
New York Plastic Surgeon
4.0 out of 5 stars 22 reviews

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.

Robert B. Pollack, MD
La Jolla Plastic Surgeon
5.0 out of 5 stars 14 reviews

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.