Which Material Makes the Best Implant for Nose Job?

I cannot be definitive without a formal physical examination, but as a general rule, it is ideal to use your own body's tissue.  It is most readily accepted by your own immune system, and least likely to cause problems with rejection, extrusion, infection or migration.   I usually prefer to use cartilage from the nose (septum), ear, or rib in that order, depending on the goal- larger augmentation requires more tissue, and there are limited quantities at each area.  After that, irradiated (cadaver) rib is a good choice, but some patients aren't so receptive to that idea.  I have had better, more predictable outcomes with form solid silicone than with Gore-Tex implants for dorsal augmentation.  The surgeon you choose will likely recommend what they have most experience with, and which material has given them a dependable result.  Both types yield good, naturally-appearing results.  The reassuring thought is that if either material gives you a problem, it can be removed.  Under NO circumstance do I ever recommend to any of my patients to receive a permanent injectable filler- this can NEVER be removed.

It is really hard to make any suggestions without seeing you for the evaluation consultation. To determine what is the best option for you I really need to take a look both at the outside and inside your nose. The important question is it your first rhinoplasty?  There is no question the reconstruction of your nose with your own harvested cartilage from ear or rib cage would be great.  From time to time depends on patients’ needs we have to work with silicone implant to be able to achieve the final results. I am positive you can find excellent board certified plastic surgeon with lots of experience here in the United States.  It is always nice to follow up with your surgeon after the surgery without stress of him being overseas and out of reach. If you decide on implants I would probably stick to silicone , it usually works out OK in Asian populatyion

I have to agree with the panel and recommend that you consider using your own cartilage for rhinoplasty. While surgery overseas can be a tempting option, I believe you are always better off having surgery performed by a well-qualified surgeon in your own country. Rhinoplasty surgery is complex, and you want to find someone that you can follow up with and make sure that the healing process is going well over a long period of time. 

Rather than using a foreign material such as silicone or goretex for rhinoplasty, use of your own cartilage from a rib graft, ear cartilage graft, or septal cartilage graft is generally safer over a long term period.

 

-Dr. Jamil Asaria, FACE Toronto