title: "Ride-on" technique and other simple and logical solutions to counter most common complications of silicone implants in augmentation rhinoplasty.
abstract: Augmentation rhinoplasty can be carried out using a wide range of materials including autologous bone and/or cartilage as well as alloplasts. Use of biologic bone and cartilage grafts results in lower infection rates, but they are associated with long-term resorption and donor-site morbidity. Alloplastic materials, in particular silicone, have been associated in literature with extrusion, necrosis of the tip, mobility and deviation or displacement of the implant, immobile nasal tip and infection. However, they have the advantages of being readily available and easy to reshape with no requirement for harvesting autografts.
  
  
  OBJECTIVE
  To overcome these problems associated with silicone implants for which the authors have devised a novel technique, the "rideon technique".
  
  
  METHODS
  The present study was carried out on 11 patients over a period of 4 years. The authors have devised a simple technique to fix the silicone implant and retain it in place. Restricting the implant to only dorsum avoided common complications related to the silicone implant.
  
  
  RESULTS
  The authors have used this technique in 11 patients with encouraging results. Follow-up ranged from 12 months to 36 months during which patients were assessed for implant mobility, implant extrusion and tip necrosis. There was no incidence of above mentioned complications in these patients.
  
  
  CONCLUSIONS
  The "rideon technique" provides excellent stability to silicone implants and restricting the implant only to dorsum not only eliminates chances of tip necrosis and thus implant extrusion but also maintains natural shape, feel and mobility of the tip.
authors.affiliation: Department of Plastic Surgery, King Edward Memorial Hospital and Seth G.S. Medical College, Parel, Mumbai, Maharashtra, India.
authors.forename: Kapil S
authors.initials: KS
authors.lastname: Agrawal
authors.affiliation: Department of Plastic Surgery, King Edward Memorial Hospital and Seth G.S. Medical College, Parel, Mumbai, Maharashtra, India.
authors.forename: Manoj V
authors.initials: MV
authors.lastname: Bachhav
authors.affiliation: Department of Plastic Surgery, King Edward Memorial Hospital and Seth G.S. Medical College, Parel, Mumbai, Maharashtra, India.
authors.forename: Charudatta S
authors.initials: CS
authors.lastname: Naik
authors.affiliation: Department of Plastic Surgery, King Edward Memorial Hospital and Seth G.S. Medical College, Parel, Mumbai, Maharashtra, India.
authors.forename: Shikha
authors.initials: S
authors.lastname: Gupta
authors.affiliation: Department of Plastic Surgery, King Edward Memorial Hospital and Seth G.S. Medical College, Parel, Mumbai, Maharashtra, India.
authors.forename: Anup V
authors.initials: AV
authors.lastname: Sarda
authors.affiliation: Department of Plastic Surgery, King Edward Memorial Hospital and Seth G.S. Medical College, Parel, Mumbai, Maharashtra, India.
authors.forename: Vyoma
authors.initials: V
authors.lastname: Desai
keywords: Alloplasts; autografts; rhinoplasty; silicone implants