Gross and Pathologic Analysis of Long-Term Silicone Implants Inserted into the Human Body for Augmentation Rhinoplasty: 221 Revision Cases

Jung, Dong Hak; Kim, Bum Ryul; Choi, Ji Yoon; Rho, Young Soo; Park, Hyojin; Han, Wade W.

doi:10.1097/01.prs.0000287323.71630.e6

Cited by 70 publications

(58 citation statements)

References 14 publications

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“…7 Complications related to silicone are usually caused by an improper insertion plane, unsuitable material size, or histological change to the surrounding soft tissue. 2,8,9 Among these causes, a relatively longer length of implant material which is not compatible with the patient's dorsal length was the main suspected reason for the complications in our 2 cases. In general, augmentation material should not be placed more caudally than the anterior septal angle 2 ; however, despite the fact that the materials we used did not extend more caudally than the anterior septal angle, re-measurement of the length after removal revealed that the material length was longer than the distance from the nasion to the double break, which can usually be identified and measured during open rhinoplasty.…”

Section: Discussionmentioning

confidence: 79%

Immediate Re-Insertion of Non-Autologous Materials in Revision Augmentation Rhinoplasty

Kim¹,

Hyun²,

Seong³

et al. 2015

Annals of Plastic Surgery

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Section: Discussionmentioning

confidence: 79%

Immediate Re-Insertion of Non-Autologous Materials in Revision Augmentation Rhinoplasty

Kim¹,

Hyun²,

Seong³

et al. 2015

Annals of Plastic Surgery

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“…In this study, 77% of all capsular contracture cases were related to the usage of silicone implants. Calcinosis of both type of implants has also been reported, however the data are very limited [29,30]. This study did not compare these complications due to their rarity and low reporting rate.…”

Section: Discussionmentioning

confidence: 93%

A systematic review of complications associated with nasal augmentation implants: expanded polytetrafluoroethylene (Gore-Tex) versus silicone

Hoang¹,

Januszyk

Boyd

2018

J Cosmet Med

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Background: Augmentation rhinoplasty has been one of the most common cosmetic procedures in Asian population. Silicone is the most widely used nasal augmentation material in Asia. However, in the past few decades, expanded polytetrafluoroethylene (ePTFE, Gore-tex ® ) has become more popular as an alternative.Objective: In this study, complications associated with each implant aresystematically reviewed. Methods: Heuristic searches of MEDLINE, PubMed, and the Cochrane Library were performed using the keywords "ePTFE", "Goretex", "silicone", and "rhinoplasty" to identify manuscripts for inclusion. The reference lists of these articles were systematically reviewed to further identify relevant articles. Only studies with detailed complication reports (i.e., infection, malposition) were considered. Random effects meta-analysis was performed to calculate the significance of differences in complication rates between silicone and ePTFE.Results: Eighteen studies encompassing a total of 7,759 patients were analyzed, 12 with ePTFE and 6 with silicone. Among studies in which sex was reported, 88.8% of the patients were female. 88.4% of cases in the silicone group were primary, as compared to 78% in the ePTFE group. Overall complications were 5.3% for the ePTFE group and 9.2% for silicone (p<0.05). Infection rate was similar between the two groups, 1.4% for ePTFE versus 1.9% for silicone group (p>0.05). Exposure rate was also similar, 0.7% for silicone and 1.2% for ePTFE (p>0.05). Malposition rates were significantly lower in ePTFE group compared to those receiving silicone implants (2.4% versus 6.8%, p<0.05). Conclusion:Although the gold standard graft material for rhinoplasty remains autologous tissue, implant based rhinoplasty is far more common in Asian populations. Both silicone and ePTFE have acceptable risk profiles when used in selective patients for dorsal augmentation. However, given the additional risks of capsular contracture and implant malposition associated with silicone implants, ePTFE should be considered as a first-line option for implant-based nasal augmentation.

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“…17 conclusions On the basis of these limited experiences, the author believes that, in Asian patients with short noses and weak or deviated caudal septums or a limited supply of donor conchal or septal cartilage, the application of the caudal septal advancement method can more predictably and efficiently provide a stable nasal base support than the conventional extension grafts, spreader grafts, or extended spreader grafts. This technique is a safe, effective, and reliable alternative to costal cartilage grafts in addressing the difficult short nose.…”

Section: Discussionmentioning

confidence: 97%

Correction of Difficult Short Nose by Modified Caudal Septal Advancement in Asian Patients

Chang¹

2010

Aesthetic Surgery Journal

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In the Asian population, when short-nosed patients present with weak or deviated caudal septums or a limited supply of donor conchal or septal cartilage, the modified caudal septal advancement method can more predictably and efficiently provide a stable nasal base support than the conventional extension grafts, spreader grafts, or extended spreader grafts. The author believes that this technique is a safe, effective, and reliable alternative to costal cartilage grafts in dealing with difficult short noses.

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Gross and Pathologic Analysis of Long-Term Silicone Implants Inserted into the Human Body for Augmentation Rhinoplasty: 221 Revision Cases

Abstract: Silicone implants were noted to induce calcification when inserted for a long time, causing long-term morphologic changes. This should be taken into consideration when choosing silicone implants for augmentation rhinoplasty.

Cited by 70 publications

References 14 publications

Immediate Re-Insertion of Non-Autologous Materials in Revision Augmentation Rhinoplasty

Immediate Re-Insertion of Non-Autologous Materials in Revision Augmentation Rhinoplasty

A systematic review of complications associated with nasal augmentation implants: expanded polytetrafluoroethylene (Gore-Tex) versus silicone

Correction of Difficult Short Nose by Modified Caudal Septal Advancement in Asian Patients

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