For asian, is it better to go with cadaveric rib that isn't my own or silicone? What's the advantage and disadvantage? I have hard time to decide. Please advise.
Answer: Cadaver rib vs. silicone implant If you have not had prior rhinoplasty, you can almost always use your own tissues (ear cartilage and septum) and avoid an implant or cadaver rib. Silicone implants, if they are to be used, are best for the bridge, but there is always enough ear cartilage to build the bridge (we dice and wrap this in scalp tissue (fascia) and rolled into a "burrito" to place along the bridge). The tip area, which is where you might use cadaver cartilage, can usually (85% of time) be reconstructed using your internal nasal tissues (septum). In the group that needs more tissue than available, I would strongly recommend using your own rib cartilage. You can avoid the unpredictable resorption rates associated with cadaver cartilage.
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Answer: Cadaver rib vs. silicone implant If you have not had prior rhinoplasty, you can almost always use your own tissues (ear cartilage and septum) and avoid an implant or cadaver rib. Silicone implants, if they are to be used, are best for the bridge, but there is always enough ear cartilage to build the bridge (we dice and wrap this in scalp tissue (fascia) and rolled into a "burrito" to place along the bridge). The tip area, which is where you might use cadaver cartilage, can usually (85% of time) be reconstructed using your internal nasal tissues (septum). In the group that needs more tissue than available, I would strongly recommend using your own rib cartilage. You can avoid the unpredictable resorption rates associated with cadaver cartilage.
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March 3, 2017
Answer: Autologous grafts all the way The absolute safest material for your nose from a lifelong, permanent perspective is tissue from your own body (autologous grafts). Autologous graft techniques do require specialized expertise, and you will achieve the best results with a rhinoplasty specialist experienced in rib cartilage and ear cartilage grafting techniques.
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March 3, 2017
Answer: Autologous grafts all the way The absolute safest material for your nose from a lifelong, permanent perspective is tissue from your own body (autologous grafts). Autologous graft techniques do require specialized expertise, and you will achieve the best results with a rhinoplasty specialist experienced in rib cartilage and ear cartilage grafting techniques.
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Answer: Rib vs silicone There is no question that autologous or your own rib is far superior to silicone in asian rhinoplasty when performed by an experienced rhinoplasty surgeon. Silicone has a tendency to create problems with time - thinning of the skin, contracture etc.
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Answer: Rib vs silicone There is no question that autologous or your own rib is far superior to silicone in asian rhinoplasty when performed by an experienced rhinoplasty surgeon. Silicone has a tendency to create problems with time - thinning of the skin, contracture etc.
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March 18, 2017
Answer: No one of them!!! Beware! asian rhinoplasties, specially those from Filipino / Malaysian / Indonesian origin are probably the most difficult ones in ethnic cases; they need massive grafting and many surgeons take a shortcut through the easy ride... and turn to the cadaveric rib or the worst: alloplastic (silicone or goretex) prosthesis. Do not admit such procedures, refuse right away and seek the opinion of a good and experienced surgeon with skills, patience, creativity and knowledge how to harvest, mount, tailor and assemble grafting for the noses, and particularly experienced in asian noses.
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March 18, 2017
Answer: No one of them!!! Beware! asian rhinoplasties, specially those from Filipino / Malaysian / Indonesian origin are probably the most difficult ones in ethnic cases; they need massive grafting and many surgeons take a shortcut through the easy ride... and turn to the cadaveric rib or the worst: alloplastic (silicone or goretex) prosthesis. Do not admit such procedures, refuse right away and seek the opinion of a good and experienced surgeon with skills, patience, creativity and knowledge how to harvest, mount, tailor and assemble grafting for the noses, and particularly experienced in asian noses.
Helpful
March 2, 2017
Answer: Cadaveric rib (not my own) or silicone? Rhinoplasty is a surgery to improve the shape of the nose for breathing or appearance. In Asian rhinoplasty, many patients want to raise the bridge. This requires an augmentation graft. Although there are many patients with silicone implants, they carry a lifetime risk of infection or extrusion (breaking through the skin). I prefer using a patient's own cartilage over cadaveric cartilage. Only living tissue can truly integrate into your nose. Carving rib cartilage is an advanced technique, so I would seek out a surgeon who is familiar with harvesting and carving for a safe and happy result. Safety comes first.
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March 2, 2017
Answer: Cadaveric rib (not my own) or silicone? Rhinoplasty is a surgery to improve the shape of the nose for breathing or appearance. In Asian rhinoplasty, many patients want to raise the bridge. This requires an augmentation graft. Although there are many patients with silicone implants, they carry a lifetime risk of infection or extrusion (breaking through the skin). I prefer using a patient's own cartilage over cadaveric cartilage. Only living tissue can truly integrate into your nose. Carving rib cartilage is an advanced technique, so I would seek out a surgeon who is familiar with harvesting and carving for a safe and happy result. Safety comes first.
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