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
Answer: Silicone rhinoplasty Injectible silicone is not FDA approved, but silicone implants are used often in rhinoplasty in the world, particularly in Asia. The problem is that sometimes the silicone material extrudes (comes out) as a result of it not taking well in the body. In the USA, for that reason, the implants have never been that popular except for very small niche practices. Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified. I've attached a link where you can start your search.
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Answer: Silicone rhinoplasty Injectible silicone is not FDA approved, but silicone implants are used often in rhinoplasty in the world, particularly in Asia. The problem is that sometimes the silicone material extrudes (comes out) as a result of it not taking well in the body. In the USA, for that reason, the implants have never been that popular except for very small niche practices. Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified. I've attached a link where you can start your search.
Helpful
April 7, 2017
Answer: Microdroplet Silikon-1000 may be considered for permanent nonsurgical rhinoplastic procedures. There has been a fifty year history of permanence, precision, and safety using medical grade liquid injectable silicone for nonsurgical rhinoplastic treatments. Dr Richard Webster recorded his favorable twenty year experience with medical grade silicone for nonsurgical rhinoplastic revisions in 1986, and our experience over the last seventeen years with Silikon-1000 has been favorable and well-received by our patients who are candidates for nonsurgical rhinoplastic procedures. Rubberized silicone implants may be considered for raising the nasal bridge during rhinoplasty surgery, usually in patients with thick, often ethnic skin types. Rubberized silicone implants may not be well suited for those with thin skin due to visibility and extrusion. When dorsal augmentationb is necessary in rhinoplasty surgery, we typically prefer ePTFE sheets from Implantech. Hope this helps. Dr Joseph
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April 7, 2017
Answer: Microdroplet Silikon-1000 may be considered for permanent nonsurgical rhinoplastic procedures. There has been a fifty year history of permanence, precision, and safety using medical grade liquid injectable silicone for nonsurgical rhinoplastic treatments. Dr Richard Webster recorded his favorable twenty year experience with medical grade silicone for nonsurgical rhinoplastic revisions in 1986, and our experience over the last seventeen years with Silikon-1000 has been favorable and well-received by our patients who are candidates for nonsurgical rhinoplastic procedures. Rubberized silicone implants may be considered for raising the nasal bridge during rhinoplasty surgery, usually in patients with thick, often ethnic skin types. Rubberized silicone implants may not be well suited for those with thin skin due to visibility and extrusion. When dorsal augmentationb is necessary in rhinoplasty surgery, we typically prefer ePTFE sheets from Implantech. Hope this helps. Dr Joseph
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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
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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
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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.
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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.
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April 9, 2017
Answer: Very wrong concept Cartilages DO indeed last forever once grafted and revascularized inside noses, who told you such idea? maybe a surgeon without skills or patience to build noses who is keen on using out-of-the-box nasal prosthesis?No one serious, reputed, efficient and capacitated surgeon would, IMHO, use nowadays silicone or goretex in noses, they do look very artificial, do extrude commonly, dislocate, get easily infected in early or late postop stages, etc (neither mattrices, dermal grafts, fillers, etc for identical or worse reasons).Cartilage grafting is unparalleled nowadays and ancient 80s or 90s disputes are cleared enought these times.
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April 9, 2017
Answer: Very wrong concept Cartilages DO indeed last forever once grafted and revascularized inside noses, who told you such idea? maybe a surgeon without skills or patience to build noses who is keen on using out-of-the-box nasal prosthesis?No one serious, reputed, efficient and capacitated surgeon would, IMHO, use nowadays silicone or goretex in noses, they do look very artificial, do extrude commonly, dislocate, get easily infected in early or late postop stages, etc (neither mattrices, dermal grafts, fillers, etc for identical or worse reasons).Cartilage grafting is unparalleled nowadays and ancient 80s or 90s disputes are cleared enought these times.
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