The inside structure of your nose is made up of bone and cartilage. It is common for rhinoplasty surgeons to use a patient’s own cartilage to create grafts or implants. This cartilage is usually harvested from the ear, but it can also come from ribs or other nasal cartilage. In Asian rhinoplasty, a cartilage graft is especially common for repairing deviated septums and reducing or smoothing the nasal bridge.
- Readily available resource
- Naturally occurring
- Leaves source structure intact
- Cartilage can be pretty rigid, making it difficult to shape
- It can be difficult to remove in the event that revision rhinoplasty is needed
- Secondary surgical site that also requires recovery
Diced Cartilage Fascia
The best way to imagine this type of implant is to think of a piece of sushi. Sushi has small pieces of rice, vegetables, fruit, etc, all wrapped up in seaweed. In diced cartilage fascia, or DCF, the cartilage is cut into very small pieces, then wrapped in muscle fascia. The cartilage is harvested from the ear, nose, or rib. Fascia is connective tissue that surrounds the muscles and can theoretically be harvested from anywhere, but is typically harvested from the muscle that runs from the temple to the ear. This implant is commonly used by Dr. Nassif to create the nasal bridge for Asian rhinoplasty patients.
- Readily available resource
- Uses materials from the patients, reducing the risk of rejection or infection
- Easy to mold into a specific shape
- More discomfort during recovery due to additional recovery sites
- Greater likelihood of swelling around the fascia during recovery
- More likely to be absorbed by the body and lose its definition
Silicone is a synthetic material that is a very common choice for implants in plastic surgery. In Asian rhinoplasty, it can be used to create the nasal tip through augmentation.
- Easy to insert
- Easy to remove in case revision rhinoplasty is needed
- Flexible and can be shaped to specifically match a patient
- Greater risk of infection or rejection
- More likely to migrate from the implant site
- Risk of extrusion (poking out of the skin)
This is one of the more applicable options in rhinoplasty implants. Gore-Tex is a material known as expanded poly-tetrafluroethelene, the same stuff that Teflon is made of. As an implant, it looks like a white, spongey material. Gore-Tex can be used for nasal tip augmentation or nasal bridge structure.
- Easy customizable
- Lower risk of infection or rejection than silicone implants
- Stays in place and infiltrates with the body’s natural tissues
- Proven positive track record
- Possibility of extrusion
- Bacteria growth can occur as the implant integrates with the tissues
- Not easily removed
Each patient has a unique nose that will have its own special requirements during a rhinoplasty procedure. Some patients handle synthetic implants worse than others, while others may prefer to use those over their own cartilage. Most doctors feel that utilizing your own body tissues is the safest choice with the smallest risk of complications. However, it really comes down to the individual doctor’s preference and experience, as well as the needs of the patient.
Dr. Nassif’s Preferences
Whenever possible, Dr. Nassif uses the patient’s cartilage for grafting or implants, either with a simple removal of the cartilage tissue or using the DCF method. During his twenty years of experience as a rhinoplasty surgeon, he has found those to be the best method of creating the nose shape.
In Asian rhinoplasty, synthetic implants are more likely to be used because Asians typically have weaker cartilage and thicker skin that might weigh down any cartilage grafts. If a synthetic implant is required, Dr. Nassif prefers the Gore-Tex implant based on his experience using it in patients.
Schedule a Consultation With Dr. Nassif
If you are interested in finding out more about your implant options for Asian rhinoplasty, contact our office at (310) 275-2467 to schedule an appointment with the doctor. You can also use our patient contact page to reach us. Dr. Nassif conducts consultations in person at his Beverly Hills office or virtually using Skype.