Download PDF
CC BY-NC-ND 4.0 · Indian J Plast Surg 2013; 46(03): 533-537
DOI: 10.4103/0970-0358.122004
Original Article
Association of Plastic Surgeons of India

Augmentation rhinoplasty with custom-made S-shape silicone implant in Asians: A 15-year experience

Visnu Lohsiriwat
Department of Surgery, Division of Plastic and Reconstructive Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkoknoi, Bangkok, Thailand
,
Apirag Chuangsuwanich
Department of Surgery, Division of Plastic and Reconstructive Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkoknoi, Bangkok, Thailand
› Author Affiliations
Further Information

Publication History

Publication Date:
07 October 2019 (online)

Also available at
  PDF Download Permissions and Reprints

ABSTRACT

Background: Asians have low nasal dorsum, thick skin envelope, low defined alar cartilage, low projection of nasal tip and broad alar base. Augmentation rhinoplasty with silicone prosthesis has been performed with predictable results, but unfavourable results and complications still present. This series show techniques and results from single surgeon experience. Materials and Methods: We retrospectively reviewed 548 patients chart during January 1995 to December 2009. All patients underwent custom-made S-shape implant silicone augmentation rhinoplasty operated by a single surgeon. There were three major operative steps: (1) Intra-operative S-shape implant carving; (2) pocket dissection through bilateral rim incision and (3) tension adjustment before closure. All the patients were recorded for early surgical complications and satisfaction. Results: There were 519 women and 29 men. The mean age is 25.5 years (18-56 years). Mean follow-up period was 6 months (1-60 months). The majority of patient were appointed for esthetic augmentation (86.8%). 515 cases (94.9%) showed well satisfaction following the operation. The total complication rate was 6.5% (4.9% deviation, 0.7% extrusion, 0.5% hematoma and 0.3% infection). All the complications were corrected with uneventful sequelae. Conclusion: Augmentation rhinoplasty with custom-made S-shape silicone implant by closed approach provides high satisfaction with acceptable early complication rate.

KEY WORDS

Aesthetic surgery - Asians - augmentation rhinoplasty - silicone implant - surgical complication
 
  • 1 Hodgkinson DJ. The Eurasian nose: Aesthetic principles and techniques for augmentation of the Asian nose with autogenous grafting. Aesthetic Plast Surg 2007;31:28-31.
  • 2 Deva AK, Merten S, Chang L. Silicone in nasal augmentation rhinoplasty: A decade of clinical experience. Plast Reconstr Surg 1998;102:1230-7.
  • 3 Zeng Y, Wu W, Yu H, Yang J, Chen G. Silicone implant in augmentation rhinoplasty. Ann Plast Surg 2002;49:495-9.
  • 4 Shirakabe Y, Suzuki Y, Lam SM. A systematic approach to rhinoplasty of the Japanese nose: A thirty-year experience. Aesthetic Plast Surg 2003;27:221-31.
  • 5 McCurdy JA Jr. The Asian nose: Augmentation rhinoplasty with L-shaped silicone implants. Facial Plast Surg 2002;18:245-52.
  • 6 Erlich MA, Parhiscar A. Nasal dorsal augmentation with silicone implants. Facial Plast Surg 2003;19:325-30.
  • 7 Ahn JM. The current trend in augmentation rhinoplasty. Facial Plast Surg 2006;22:61-9.
  • 8 Lam SM. Asian rhinoplasty. Semin Plast Surg 2009;23:215-22.
  • 9 Jang YJ, Yu MS. Rhinoplasty for the Asian nose. Facial Plast Surg 2010;26:93-101.
  • 10 Tham C, Lai YL, Weng CJ, Chen YR. Silicone augmentation rhinoplasty in an Oriental population. Ann Plast Surg 2005;54:1-5.
  • 11 Yilmaz M, Vayvada H, Menderes A, Mola F, Atabey A. Dorsal nasal augmentation with rib cartilage graft: Long-term results and patient satisfaction. J Craniofac Surg 2007;18:1457-62.
  • 12 Kridel RW, Konior RJ. Irradiated cartilage grafts in the nose. A preliminary report. Arch Otolaryngol Head Neck Surg 1993;119:24-30.
  • 13 Song HM, Lee BJ, Jang YJ. Processed costal cartilage homograft in rhinoplasty: The Asan Medical Center experience. Arch Otolaryngol Head Neck Surg 2008;134:485-9.
  • 14 Jackson IT, Choi HY, Clay R, Bevilacqua R, TerKonda S, Celik M, et al. Long-term follow-up of cranial bone graft in dorsal nasal augmentation. Plast Reconstr Surg 1998;102:1869-73.
  • 15 Erdogan B, Tuncel A, Adanali G, Deren O, Ayhan M. Augmentation rhinoplasty with dermal graft and review of the literature. Plast Reconstr Surg 2003;111:2060-8.
  • 16 Niechajev I. Porous polyethylene implants for nasal reconstruction: Clinical and histologic studies. Aesthetic Plast Surg 1999;23:395-402.
  • 17 Conrad K, Torgerson CS, Gillman GS. Applications of Gore-Tex implants in rhinoplasty reexamined after 17 years. Arch Facial Plast Surg 2008;10:224-31.
  • 18 Won TB, Jin HR. Revision rhinoplasty in Asians. Ann Plast Surg 2010;65:379.
  • 19 von Buelow S, von Heimburg D, Pallua N. Efficacy and safety of polyacrylamide hydrogel for facial soft-tissue augmentation. Plast Reconstr Surg 2005;116:1137-46.