Should I Go for L Shape Silicone Rhinoplasty?

I prefer to use the patients own cartillage either from their septum or ear.In the long run I feel its safer and gives an excellent esthetic results. Many implant materials and shapes are used throughout the world with much success so discuss your options with your surgeon to be re-assured. The attached video explains how septal cartilage grafts can be used.

Using silicone implants, and especially L-shaped implants, is not a great choice for Asian rhinoplasty because of the high rate of complications associated with them.  For the safest, longest lasting result, I recommend using grafts constructed from your own tissue.  

The L shape silicone graft carries unnecessary risk with it (migration, extrusion, infection).  While it will provide excellent aesthetics in the short term it does not become incorporated into the nose and it is not a permanent option due to the risk of extrusion (thinning skin and becoming exposed).  Autologous grafts (tissue from your own body) is a safer, permanent option.  

This is strictly my opinion, as each surgeon has an opinion about synthetic implants.

For me, I switched to using only the patient's own tissues for reshaping the nose and have had a great improvement in the results. Synthetic implants can create problems at any point in time, even years into the future. L shaped implants in particular can cause undue stress at the nasal tip and should be avoided in my opinion.

Cartilage is best for Asian rhinoplasty in my opinion. In 35 years I have not had any infection using cartilage but have seen many silicone implants come thru the skin or get infected.