Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013 Sep;46(3):533-7.
doi: 10.4103/0970-0358.122004.

Augmentation rhinoplasty with custom-made S-shape silicone implant in Asians: A 15-year experience

Apirag Chuangsuwanich  1 , Visnu Lohsiriwat  1
Affiliations

Augmentation rhinoplasty with custom-made S-shape silicone implant in Asians: A 15-year experience

Apirag Chuangsuwanich et al. Indian J Plast Surg. 2013 Sep.

Abstract

Background: Asians have low nasal dorsum, thick skin envelope, low defined alar cartilage, low projection of nasal tip and broad alar base. Augmentation rhinoplasty with silicone prosthesis has been performed with predictable results, but unfavourable results and complications still present. This series show techniques and results from single surgeon experience.

Materials and methods: We retrospectively reviewed 548 patients chart during January 1995 to December 2009. All patients underwent custom-made S-shape implant silicone augmentation rhinoplasty operated by a single surgeon. There were three major operative steps: (1) Intra-operative S-shape implant carving; (2) pocket dissection through bilateral rim incision and (3) tension adjustment before closure. All the patients were recorded for early surgical complications and satisfaction.

Results: There were 519 women and 29 men. The mean age is 25.5 years (18-56 years). Mean follow-up period was 6 months (1-60 months). The majority of patient were appointed for esthetic augmentation (86.8%). 515 cases (94.9%) showed well satisfaction following the operation. The total complication rate was 6.5% (4.9% deviation, 0.7% extrusion, 0.5% hematoma and 0.3% infection). All the complications were corrected with uneventful sequelae.

Conclusion: Augmentation rhinoplasty with custom-made S-shape silicone implant by closed approach provides high satisfaction with acceptable early complication rate.

Keywords: Aesthetic surgery; Asians; augmentation rhinoplasty; silicone implant; surgical complication.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Operative procedure (a) line of marking, (b) carving the prosthesis, (c) the prosthesis, (d) making incision
Figure 2
Figure 2
A 24-year-old lady with 4-month and 1-year results. (a) Pre-operative pictures, (b) 4-month post-operative pictures and (c) 1-year post-operative pictures
Figure 3
Figure 3
A 30-year-old lady with 2-year results (pre-operative and post-operative picture of frontal/lateral/worm’ eyes view)
Figure 4
Figure 4
Types of silicone nasal implant
See this image and copyright information in PMC

References

    1. Hodgkinson DJ. The Eurasian nose: Aesthetic principles and techniques for augmentation of the Asian nose with autogenous grafting. Aesthetic Plast Surg. 2007;31:28–31. - PubMed
    1. Deva AK, Merten S, Chang L. Silicone in nasal augmentation rhinoplasty: A decade of clinical experience. Plast Reconstr Surg. 1998;102:1230–7. - PubMed
    1. Zeng Y, Wu W, Yu H, Yang J, Chen G. Silicone implant in augmentation rhinoplasty. Ann Plast Surg. 2002;49:495–9. - PubMed
    1. Shirakabe Y, Suzuki Y, Lam SM. A systematic approach to rhinoplasty of the Japanese nose: A thirty-year experience. Aesthetic Plast Surg. 2003;27:221–31. - PubMed
    1. McCurdy JA., Jr The Asian nose: Augmentation rhinoplasty with L-shaped silicone implants. Facial Plast Surg. 2002;18:245–52. - PubMed