Permanent nose augmentation with a Methylmethacrylate implant using an injection-molding technique?

Question

Can the entire nose be augmented with a Methylmethacrylate implant using an injection-molding technique?

Marc Polacco, MD · Answer

Thank you for your question. While the technical answer is yes, I would strongly advise against doing so. PMMA is a permanent implant that works well the majority of the time, but it can result in granulomas long term. This may be especially difficult to remove if there is formation on the nose. Silicone is another implant that can lead to complications long term. For augmentation, using native cartilage is usually the safest and most well-studied technique. I hope that helps, and all the best.
-Dr. P

Eric M. Joseph, MD · Answer

Bellafill is PMMA, a permanent soft tissue filler called polymethyl methacrylate. This filler may be highly reactive in some people, and it’s use in the nose is of questionable feasibility. For permanent non-surgical nose job procedures, we prefer microdroplet Silikon-1000 injections. Hope this helps. Dr Joseph

Ronald J. Edelson, MD · Answer

It’s an interesting idea that I’ve never heard of. Doing this for purely cosmetic reasons is probably a recipe for disaster. There are other ways augment the bridge and there is ample experience with them. Methylmethcrylate  cure hard as a rock and probably would damage the overlying skin

David M. Kowalczyk, MD, MBA, FACS · Answer

Hi there! I'm sure you could devise some way to do this. But, PMMA can be very reactive within the tissues and difficult to remove. It's more of a permanent option, for example, to obliterate a sinus cavity (which its usage has even gone out of favor). If possible, I advocate for no foreign material in the nose such as silicone or GoreTex, for example. Use your own material and the infection rate and subsequent complications should be lower. Hope that helps!

Permanent nose augmentation with a Methylmethacrylate implant using an injection-molding technique?

Answers (4)

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