Dorsal Augmentation using Alloplastic Implants

Abstract

Dorsal augmentation is an essential procedure not only for Asians, who generally have indistinct and poorly developed nasal bridges, but also for Africans and Caucasians, who have similar dorsal deficiencies. There is no single ideal implant or graft for dorsal augmentation. Dorsal augmentation with autologous materials is considered ideal by many surgeons. However, harvesting autologous material is associated with donor-site complications, and these materials are difficult to handle and shape. Despite concerns over complications such as infection, extrusion, and deviation, alloplastic implant materials such as silicone or Gore-Tex have a critically important role in typical cosmetic dorsal augmentation due to their ease of use in producing a cosmetically appealing outcome and evading donor-site complications. A thorough understanding of the shape of an aesthetically pleasing nose, appropriate surgical technique, and proper management methods for complications are the mainstay for the success of dorsal augmentation using alloplastic implants.

Keywords

dorsal augmentation - alloplastic implant materials - silicone - Gore-Tex

• References

• 1 Jang YJ. Rhinoplasty and Septoplasty. Seoul, Korea: Koonja; 2014
• 2 Moon BJ, Lee HJ, Jang YJ. Outcomes following rhinoplasty using autologous costal cartilage. Arch Facial Plast Surg 2012; 14 (3) 175-180
• 3 Jang YJ, Yu MS. Rhinoplasty for the Asian nose. Facial Plast Surg 2010; 26 (2) 93-101
• 4 Wang JH, Lee BJ, Jang YJ. Use of silicone sheets for dorsal augmentation in rhinoplasty for Asian noses. Acta Otolaryngol Suppl 2007; 558 (558) 115-120
• 5 Godin MS, Waldman SR, Johnson Jr CM. Nasal augmentation using Gore-Tex. A 10-year experience. Arch Facial Plast Surg 1999; 1 (2) 118-121 , discussion 122
• 6 Lan MY, Jang YJ. Revision rhinoplasty for short noses in the Asian population. JAMA Facial Plast Surg 2015; 17 (5) 325-332
• 7 Joo YH, Jang YJ. Comparison of the surgical outcomes of dorsal augmentation using expanded polytetrafluoroethylene or autologous costal cartilage. JAMA Facial Plast Surg 2016; 18 (5) 327-332
• 8 Jang YJ, Moon BJ. State of the art in augmentation rhinoplasty: implant or graft?. Curr Opin Otolaryngol Head Neck Surg 2012; 20 (4) 280-286
• 9 Jung YG, Kim KH, Dhong HJ. Ultrasonographic monitoring of new expanded polytetrafluoroethylene implant thickness after augmentation rhinoplasty. Am J Rhinol Allergy 2012; 26 (5) e137-e141
• 10 Jang YJ, Yi JS. Perspectives in Asian rhinoplasty. Facial Plast Surg 2014; 30 (2) 123-130
• 11 Singh S, Baker Jr JL. Use of expanded polytetrafluoroethylene in aesthetic surgery of the face. Clin Plast Surg 2000; 27 (4) 579-593
• 12 Ham J, Miller PJ. Expanded polytetrafluoroethylene implants in rhinoplasty: literature review, operative techniques, and outcome. Facial Plast Surg 2003; 19 (4) 331-339
• 13 Conrad K, Gillman G. A 6-year experience with the use of expanded polytetrafluoroethylene in rhinoplasty. Plast Reconstr Surg 1998; 101 (6) 1675-1683 , discussion 1684