I think that a combination of an implant for the nasal bridge and using your own tissues for your nasal tip is the best combination for Asian Rhinoplasty. Through years of clinical results through patients and studies conducted by analyzing a different collection of studies have shown many things to us. The dorsum or nasal bridge seems to be capable of accepting an implant that is made up of silicone porous polyethylene, or goretex. The areas that most likely have issues with alloplasts (foreign implants like silicone, porous polyethylene, and goretex, etc) is around the tip region where the distance from the implant to the environment is the thinnest. What happens when you put alloplasts in the nasal tip is that the implant can get inflammed and extrude through the skin or inside the nose. This is the reason for using our own tissues in the nasal tip (also called autografts). I use ear cartilage, or septal cartilage for the nasal tip. I use my own approach for elevating the tip. I use the patients own nasal tip cartilages but I use grafts from the septum or ear to prop their nasal tip cartilages into a more desirable position to make the nose look better. The benefits are that you maintain the natural look of your own tip cartilages while using grafts to make the tip better. I use the septum and grafts attached to the septum to project the nasal tip to a more pleasing position.
Thanks for reading, Dr Young
Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington