Semin Plast Surg 2015; 29(04): 247-254
DOI: 10.1055/s-0035-1566112
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Simple Implant Augmentation Rhinoplasty

Anh H. Nguyen
1   Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
,
Erica L. Bartlett
1   Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
,
Katarzyna Kania
2   Division of Plastic Surgery, Indiana University, Indianapolis, Indiana
,
Sang Mo Bae
3   Private Practice, Ansan, South Korea
› Author Affiliations
Further Information

Publication History

Publication Date:
23 November 2015 (online)

Abstract

Augmentation rhinoplasty among Asian patients is often performed to improve the height of the nasal dorsum. As the use of autogenous tissues poses certain limitations, alloplastic materials are a viable alternative with a long history of use in Asia. The superiority of one implant prosthesis over another for augmentation rhinoplasty is a matter of debate, with each material representing varying strengths and weaknesses, indications for use, and precautions to consider in nasal implant placement. An implant prosthesis should be used on a case-by-case basis. Augmentation rhinoplasty requires the consideration of specific anatomical preoperative factors, including the external nose, nasal length, nasofrontal angle, humps, and facial proportions. It is equally important to consider several operative guidelines to appropriately shape implants to minimize the occurrence of adverse effects and postoperative complications. The most common postoperative complications include infection, nasal height change, movement of implant prosthesis, and silicone implant protrusion. In addition, the surgeon should consider the current standards of Asian beauty aesthetics to better understand the patient's desired outcome.