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?
Answer: Solid Silicone Nasal Implants work nicely I have used the solid silicone nasal implants from Implantech for 20 years with a an infection and extrusion rate ~ 5%. The majority of the implants used in our practice are Voloshin and Flowers style. The implants are now more soft and pliable and cause no tissue reaction. See durometer. I have found the low complication rate to be acceptable and that proper technique, implant sizing, and patient section are the best predictors outcome. The Flowers dorsal implant is the safest to use and I have seen no extrusions. If placed in a precise mid line pocket and secured during the week of healing, it's a beautiful result. The Voloshin implant however must be sized so that it applies NO pressure on the nasal tip skin and rests below the domes. The columellar component must be trimmed appropriately with this caveat in mind. The African American and Asian patients are ideally suited for these implants, due to their skin thickness, and are generally very happy following surgery.
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Answer: Solid Silicone Nasal Implants work nicely I have used the solid silicone nasal implants from Implantech for 20 years with a an infection and extrusion rate ~ 5%. The majority of the implants used in our practice are Voloshin and Flowers style. The implants are now more soft and pliable and cause no tissue reaction. See durometer. I have found the low complication rate to be acceptable and that proper technique, implant sizing, and patient section are the best predictors outcome. The Flowers dorsal implant is the safest to use and I have seen no extrusions. If placed in a precise mid line pocket and secured during the week of healing, it's a beautiful result. The Voloshin implant however must be sized so that it applies NO pressure on the nasal tip skin and rests below the domes. The columellar component must be trimmed appropriately with this caveat in mind. The African American and Asian patients are ideally suited for these implants, due to their skin thickness, and are generally very happy following surgery.
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November 18, 2014
Answer: Asian and super soft silicon Vs America and Cartilage. Which is best? Placing the implant is a shorter and easier procedure, but the infection and extrusion rate is higher with a foreign body.Kenneth Hughes, MDLos Angeles, CA
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November 18, 2014
Answer: Asian and super soft silicon Vs America and Cartilage. Which is best? Placing the implant is a shorter and easier procedure, but the infection and extrusion rate is higher with a foreign body.Kenneth Hughes, MDLos Angeles, CA
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November 18, 2014
Answer: Gambling with soft silicone in nose vs. cartilage. I have removed many infected silicone implants over 35 years of rhinoplasty and have never had an infection with cartilage. How lucky do u feel--your choice!
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November 18, 2014
Answer: Gambling with soft silicone in nose vs. cartilage. I have removed many infected silicone implants over 35 years of rhinoplasty and have never had an infection with cartilage. How lucky do u feel--your choice!
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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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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.
Helpful
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
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
