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Facial Plast Surg 2017; 33(02): 189-194
DOI: 10.1055/s-0036-1598015
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Dorsal Augmentation using Alloplastic Implants

Hyung Gyun Na
1   Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
,
Yong Ju Jang
1   Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
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Publication History

Publication Date:
07 April 2017 (online)

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Abstract

Dorsal augmentation is an essential procedure not only for Asians, who generally have indistinct and poorly developed nasal bridges, but also for Africans and Caucasians, who have similar dorsal deficiencies. There is no single ideal implant or graft for dorsal augmentation. Dorsal augmentation with autologous materials is considered ideal by many surgeons. However, harvesting autologous material is associated with donor-site complications, and these materials are difficult to handle and shape. Despite concerns over complications such as infection, extrusion, and deviation, alloplastic implant materials such as silicone or Gore-Tex have a critically important role in typical cosmetic dorsal augmentation due to their ease of use in producing a cosmetically appealing outcome and evading donor-site complications. A thorough understanding of the shape of an aesthetically pleasing nose, appropriate surgical technique, and proper management methods for complications are the mainstay for the success of dorsal augmentation using alloplastic implants.

Keywords

dorsal augmentation - alloplastic implant materials - silicone - Gore-Tex