eMedicine Specialties > Plastic Surgery > Facial Augmentation

Nasal Implants: Follow-up

Author: Garrett A Wirth, MD, MS, FACS, Associate Clinical Professor of Plastic Surgery, Director of Research, Laboratory of Tissue Engineering and Regenerative Medicine, Aesthetic and Plastic Surgery Institute, University of California, Irvine; Medical Director, Long Beach Memorial Wound Healing Center
Coauthor(s): James G Hoehn, MD, Program Director, Professor, Department of Surgery, Division of Plastic Surgery, Albany Medical Center Hospital
Contributor Information and Disclosures

Updated: Jan 28, 2009

Outcome and Prognosis

Optimal results include a combination of form and function. The final result may be achieved with a single surgery or may require staged procedures, combinations of implants, surgical revision, or a combination thereof. The choice of nasal implants to be placed in reconstructive surgery of the nose is a difficult but important component in the patient's care. The degree of loss of tip support, bridge contour, or nasal valve collapse may mandate nasal implant reconstruction.

Various materials each have their benefits and pitfalls, which must be balanced against the surgeon's familiarity with each material. Implantation of alloplasts in the nose is controversial; some authors believe the risk of complication, albeit low, does not justify their use.

Because of the nose's central location, minor defects of reconstruction may be particularly noticeable to any casual observer but may play a much larger psychological role in the patient's perception of self. Based on the authors' review of the literature and clinical experience, autogenous cartilage and/or bone are recommended as the primary choices for nasal implants.

 


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Workup: Nasal Implants
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References
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Further Reading

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Keywords

nasal implant, nasal implants, nose implants, nose deformities, nasal deformities, nasal reconstruction, nasal surgery, nose surgery, nose reconstruction

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Contributor Information and Disclosures

Author

Garrett A Wirth, MD, MS, FACS, Associate Clinical Professor of Plastic Surgery, Director of Research, Laboratory of Tissue Engineering and Regenerative Medicine, Aesthetic and Plastic Surgery Institute, University of California, Irvine; Medical Director, Long Beach Memorial Wound Healing Center
Garrett A Wirth, MD, MS, FACS is a member of the following medical societies: Alpha Omega Alpha, American Society of Plastic Surgeons, Association for Academic Surgery, and Plastic Surgery Research Council
Disclosure: Nothing to disclose.

Coauthor(s)

James G Hoehn, MD, Program Director, Professor, Department of Surgery, Division of Plastic Surgery, Albany Medical Center Hospital
James G Hoehn, MD is a member of the following medical societies: American Association of Plastic Surgeons, American Burn Association, American Cleft Palate/Craniofacial Association, American College of Surgeons, American Medical Association, and American Society for Surgery of the Hand
Disclosure: Nothing to disclose.

Medical Editor

Gregory Caputy, MD, PhD, Chief, Department of Plastic Surgery, Aesthetica Plastic and Laser Surgery Center of Honolulu
Gregory Caputy, MD, PhD is a member of the following medical societies: American Medical Association, American Society for Laser Medicine and Surgery, Canadian Medical Association, Hawaii Medical Association, International College of Surgeons, International College of Surgeons US Section, Pan-Pacific Surgical Association, and Wound Healing Society
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Edward Owen Terino, MD, Director, Department of Plastic Surgery, Los Robles Medical Center
Edward Owen Terino, MD is a member of the following medical societies: American College of Surgeons, American Society for Aesthetic Plastic Surgery, and International College of Surgeons
Disclosure: Nothing to disclose.

CME Editor

Nicolas (Nick) G Slenkovich, MD, Director, Colorado Plastic Surgery Center
Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and Colorado Medical Society
Disclosure: Nothing to disclose.

Chief Editor

Deepak Narayan, MD, FRCS, Associate Professor of Surgery (Plastic), Yale University School of Medicine; Chief of Plastic Surgery, West Haven Veterans Affairs Medical Center
Deepak Narayan, MD, FRCS is a member of the following medical societies: American Association for the Advancement of Science, American College of Surgeons, American Medical Association, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Indian Medical Association, Plastic Surgery Research Council, Royal College of Surgeons of Edinburgh, and Royal College of Surgeons of England
Disclosure: Nothing to disclose.

 
 
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