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KMID : 0616620090150010023
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Journal of Soonchunhyang Medical College
2009 Volume.15 No. 1 p.23 ~ p.31
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Augmentation Rhinoplasty with Silicone Implant
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Khun Kheang
Park Eun-Soo
Kim Yong-Bae
Jung Sung-Gyun
Shin Ho-Seong
Nam Seung-Min
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Abstract
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Augmentation rhinoplasty in the Asian patient requires an understanding of his or her aesthetic goals which often differ from that of a Caucasian patient, Asian Patient frequently desire dorsal augmentation and tip projection, To accomplish these changes, the surgeon must take into account the typical characteristic of the Asian nose. these include thick skin, abundant subcutaneous soft tissue, weak lower lateral cartilage, and a relative paucity of septa1 cartilage. Because the Asian nose has relatively weak underlying stn~ctural support and a thick overlying soft tissue skin envelope, the surgeon may find a structural approach to Asian rhinoplasty useful to achieve a refined dorsum and tip, While various autologous and alloplastic materials are available for use in this procedure, there remains controversy regarding which material is best. A number of aterials, both biologic and alloplastic, have been used for nasal augmentation. Although biologic bone and cartilage grafts are associated with lower infection rates, they are also associated with tong-term resorption and donor-site morbidity. Silicone nasal augmentation is a safe and effective procedure when used for moderate increases in nasal height. Contrary to previous reports, this series showed no associated infection. If the implant is shaped appropriately to the patient’s nasal phenotype, the risk of extrusion may be reduced, Improved reporting of silicone implant failures and follow-up times in future studies are needed to better define specific guidelines for the use of these materials.
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KEYWORD
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Rhinoplasty, Augmentation, Silicone, Implant
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