Hi Doctors: I've researched from thousands of these forums and there seems to be a preference from Western doctors to use cartilage for the bridge because silicone has a high infection and complication rate. However, the east disagrees and there's evidence that shows that silicone is best for Asians. Upon further investigation, I realized that Westerners have been used HARD silicone for the bridge with terrible results. Are any doctors on this forum familiar with SOFT silicone for the bridge?
January 26, 2015
Answer: Asian nasal augmenation The use of silicone dorsal implants should be limited just to the dorsum and not extend towards the tip of the nose. Tip should be created with cartilage either taken from the ear, septum or as a last resort the ribs. If the dorsal silicone implant is properly fixed it should not move around or rotate. Infection with dorsal implant are extremely low if done with this technique. The use of soft silicone is usually associated with implants that augment the tip such as the Voloshin nasal implant. L-shaped dorsal implants should be avoided. Other methods of using rolled fascial cartilage grafts can work but the dorsum height may change in the future due to some cartilage absorption.
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January 26, 2015
Answer: Asian nasal augmenation The use of silicone dorsal implants should be limited just to the dorsum and not extend towards the tip of the nose. Tip should be created with cartilage either taken from the ear, septum or as a last resort the ribs. If the dorsal silicone implant is properly fixed it should not move around or rotate. Infection with dorsal implant are extremely low if done with this technique. The use of soft silicone is usually associated with implants that augment the tip such as the Voloshin nasal implant. L-shaped dorsal implants should be avoided. Other methods of using rolled fascial cartilage grafts can work but the dorsum height may change in the future due to some cartilage absorption.
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November 18, 2014
Answer: Asian Rhinoplasty Regardless of type of silicone, the complications of infection, migration, extrusion, etc. have resulted in a high percentage of revision surgeries in which the implant is removed and replaced using one's own cartilage and soft tissue. Please consult with a board certified specialist who can assist you with achieving the results you seek. 3-dimensional computer imaging can help you visualize what you may look like afterwards and serve as an important communication tool with your surgeon.
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November 18, 2014
Answer: Asian Rhinoplasty Regardless of type of silicone, the complications of infection, migration, extrusion, etc. have resulted in a high percentage of revision surgeries in which the implant is removed and replaced using one's own cartilage and soft tissue. Please consult with a board certified specialist who can assist you with achieving the results you seek. 3-dimensional computer imaging can help you visualize what you may look like afterwards and serve as an important communication tool with your surgeon.
Helpful
