Augmentation rhinoplasty is one of the most popular aesthetic procedures in the orient because the typical asian nose is characterized by a broad, relatively flat dorsum associated with a wide lobule that often exhibits alar flaring and
columellar
retraction, Although autogenous bone, autogenous cartilage and silicone rubber are commonly used as nasal augmentation materials, nothing is suitable for the anatomical feature and physiologic function of the nose. An ideal implant should not be
immunogenic be easily formable, not change in size and figure and not produce adhesion for easy elimination, In augmentation rhinoplasty with silicone rubber, it is not uncommon to observe infection or hematoma as early post-operative
complication
and
deviation or extrusion of implants as late post-operative complication. When we inserted silicone rubber through alar rim incision with guide suture, we could insert the implant easily under adequate dissecting pocket and so lower the infection
rate due
to smaller hematoma and edema. The incidence of post-operative deviation of the implant could be lowered by means of fixation of the silicone rubber on the nasal root side and subsiding the edema rapidly by draining through the suture.
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