Silicone is the most commonly used surgical material for rhinoplasty. Because it is a synthetic material that is easy to find, inexpensive, and can be easily sharpened.
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Adjusted to shape, and has many levels of hardness to choose from. from very hard to very soft when inserted into the body The body will create a capsule covering it. The silicone will not stick to the same homogeneous capsule. This makes it easy to remove if problems arise.
Which silicone to use May be produced from any country. But the important thing is that it should. It is a silicone that has been certified as a good quality silicone used for medical use. To be safely implanted in the body of a person (Implantable medical grade), not the silicone used in general industry (Industrial grade), which popular silicone It is usually available in two styles, namely a factory-formed type and a rectangular bar type that the surgeon must use to sharpen the knife himself in the operating room to get a suitable shape. individual patient
The advantages of molded silicone from the factory are to save time for these Reshaping in the operating room. But even after forming I always have to sharpen more in the operating room because of the silicone. performed from the factory can’t make Fit all patients under 100 percent.
PTFE (polytetrafluoroethylene), commonly referred to by the trade name Gore-tex, is a synthetic material used extensively in vascular surgery. It was initially used as an artificial blood vessel in coronary bypass surgery. or making artificial blood vessels for use in dialysis because the reaction of The body acts very little on PTFE, so it is used as an alternative for rhinoplasty. Compared to silicone, PTFE is similar in hardness to medium hardness. Silicone Can be easily reshaped, the material is small and porous. When inserted into the body The body will create tissues. inserted into those tiny pores, making it less likely for PTFE to move, but on the other hand If surgery is required It will make pulling out more difficult. silicone as well The price is still higher than silicone. At present, PTFE is the second most popular synthetic material for rhinoplasty. After Medpor, the full name is high density porous polyeth- ylene material. It is a relatively hard synthetic material. It has been used for facial bone reconstruction for accident victims for a long time. Because it is a very porous material. When inserted into the body, tissues are formed. fascia inserted all over the piece Therefore, when Medpor is used for rhinoplasty, there are advantages. is that the material tends to stick tightly Not moving after surgery, but a major disadvantage which is difficult to remove if corrective surgery is required
Things to consider when choosing materials to augment the nose
Rhinoplasty with its own tissue If there are no acute complications will stay with the body for a lifetime But at the same time, you have to suffer yourself. due to increased scars from tissue removal surgery The surgery is more complicated, higher and requires more expertise of the surgeon. Price when foreign material is inserted The body will always create membranes surrounding it. It may form a membrane surrounding the material in the form of a capsule. For example, in the case of silicone or creating a membrane inserted into the material. such as in the case of Medpor
Medpor when inserted into the nose There will be a lot of membranes inserted into the material. And there are a lot of surrounding inflammatory reactions. making it difficult to remove if having to undergo silicone correction surgery and Gore-Tex (PTFE) provide almost no difference in treatment results. The selection depends mainly on the surgeon’s aptitude, there is no silicone. Or any type of supplementary material or shape that will be suitable for all people, while prefabricated silicone It’s not always better than the self-sharpening silicone. It depends on whether the final silicone shape fits our nose or not. There is also a very small chance that the prefabricated silicone will fit 100% on our nose. The surgeon often has to further sharpen and adjust the silicone. to fit the patient. Each person is the best if there is silicone at the tip of the nose. Be prepared that in the next 3-10 years, the skin may become thinner, making it possible to feel or see the silicone stick and there is a risk of perforation in some people. Until requiring surgery later, there are many patients who have nose augmentation with silicone. or gore-tex to the tip of the nose And can live with that bar material without complications for more than 30-40 years, but there are some patients who experience complications such as a thin nose tip or silicone perforation, which leads to revision surgery later. cartilage conduction Or other types of tissue to paste in front of the silicone end does not reduce the chance of silicone penetration but may slow down the penetration of the silicone to some extent For people who have an upturned nose Do not use silicone or other synthetic materials to push lengthen the nose Because over time, the skin around the tip of the nose becomes thinner and complications occur. such as finally breaking through a person with a thick nose The tip of the nose can withstand the force from silicone or a harder material better than someone with a thin nose. which is less prone to long-term complications such as perforation or visibility of the silicone tip On the other hand, people with thin noses There is a risk of silicone penetration or visible free material. than people with thick noses