Silicone augmentation rhinoplasty in an Oriental population.
Aesthetic augmentation rhinoplasty is gaining in popularity among Oriental populations. Despite being widely criticized in the literature, silicone implants remain the most commonly used as a result of their ease of application and lack of donor site morbidity. The authors present 355 consecutive Chinese patients who underwent silicone augmentation rhinoplasty from January 1999 to April 2003. During a mean follow-up period of 160 days, 28 patients (7.9%) developed major complications that required either removal or revision of the implant. The patients who had received the largest volume implants had the highest extrusion and infection rates, indicating that overaugmentation is the main cause. The authors hypothesize that the lower complication rates in Oriental compared with white populations is primarily the result of structural differences in the soft tissue envelope of the nose. In our series of patients, nasal augmentation with silicone implants proved to be effective and safe.
Tham
Colin
C
Department of Plastic Surgery, Singapore General Hospital, Outram Road, Singapore 169608, Singapore. gplthj@sgh.com.sg
Lai
Yung-Lung
YL
Weng
Chau-Jin
CJ
Chen
Yu-Ray
YR
D000293:Adolescent; D000328:Adult; D000368:Aged; D044466:Asian People; D001672:Biocompatible Materials / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*; D012828:Silicones / Q000627:therapeutic use; D016896:Treatment Outcome
D001672:Biocompatible Materials; D012828:Silicones