dear docs your advise is needed: why is silicone not used (much) in rhinoplasty these days instead of all that cartilage harvest? wouldn´t it cause much less problems to the patient since there will be: + no wounds + no healing + no deformity + no pain involved at the donor site? i know that silicone wont last forever but so do cartilage grafts not last forever. thanks for your advise
April 7, 2017
Answer: Silicone usage in rhinoplasty Hello and thank you for your question. In my practice I prefer to use diced cartilage wrapped in fascia for dorsal augmentation in rhinoplasty. Silicone has many issues including infection, malposition, and extrusion over time. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person. Best wishes and good luck. Richard G. Reish, M.D. Harvard-trained plastic surgeon
Helpful
April 7, 2017
Answer: Silicone usage in rhinoplasty Hello and thank you for your question. In my practice I prefer to use diced cartilage wrapped in fascia for dorsal augmentation in rhinoplasty. Silicone has many issues including infection, malposition, and extrusion over time. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person. Best wishes and good luck. Richard G. Reish, M.D. Harvard-trained plastic surgeon
Helpful
Answer: Rhinoplasty Silicone is used mostly for dorsal augmentation (ie the bridge). It has it’s place but most people require reduction not augmentation so it isn’t used often in the US.
Helpful
Answer: Rhinoplasty Silicone is used mostly for dorsal augmentation (ie the bridge). It has it’s place but most people require reduction not augmentation so it isn’t used often in the US.
Helpful