The Asian nose: augmentation rhinoplasty with L-shaped silicone implants.
Few procedures in facial plastic surgery elicit the controversy that surrounds augmentation of the Asian nose. Asian surgeons generally advocate augmentation with custom-fabricated silicone prostheses, a technique that Western surgeons, who strongly recommend autogenous material, condemn as inherently dangerous. Analysis of the evidence relating to augmentation with silicone prostheses suggests that there is little factual support for Western dogma and indicates that, when properly executed, augmentation with silicone implants yields reliable and consistently superior aesthetic results. A detailed blueprint for execution of augmentation rhinoplasty with custom- fabricated silicone implants is provided.
McCurdy
John A
JA
Department of Surgery, University of Hawaii, John A Burns School of Medicine, Honolulu, HI 96813, USA.
D044466:Asian People; D001672:Biocompatible Materials; D002356:Cartilage / Q000637:transplantation; D004954:Esthetics; D005500:Follow-Up Studies; D006801:Humans; D015508:Nasal Obstruction / Q000601:surgery; D009666:Nose / Q000033:anatomy & histology*; D010347:Patient Care Planning; D019736:Prostheses and Implants / Q000009:adverse effects; D011474:Prosthesis Design; D017755:Prosthesis Fitting; D019919:Prosthesis Implantation; D015203:Reproducibility of Results; D012225:Rhinoplasty / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D012828:Silicones; D013530:Surgical Wound Infection / Q000209:etiology; D014182:Transplantation, Autologous
D001672:Biocompatible Materials; D012828:Silicones