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State of the art in augmentation rhinoplasty: implant or graft?

Jang, Yong J.; Moon, Byoung J.

Current Opinion in Otolaryngology & Head and Neck Surgery: August 2012 - Volume 20 - Issue 4 - p 280–286
doi: 10.1097/MOO.0b013e328354b390
FACIAL PLASTIC SURGERY: Edited by Julian M. Rowe-Jones and Travis Tollefson

Purpose of review There is ongoing debate regarding the optimal material for augmentation rhinoplasty. Each graft and implant has its own advantages and disadvantages. This review addresses the use of several grafts and implants in augmentation rhinoplasty, with a particular focus on dorsal augmentation.

Recent findings There are several grafts and implants available for dorsal augmentation. Autologous graft is commonly reported to be the preferred method. However, the proper selection of graft material varies depending on the technique and preference of the surgeon, as well as the anatomic and ethnic characteristics of the patient. Thus, there are a number of different options in the choice of graft or implant material, and there are debates and controversies as to the most appropriate choice.

Summary This article summarizes the advantages and disadvantages of several graft and implant options for dorsal augmentation. This information can help proper selection of the appropriate implant for dorsal augmentation, a critically important factor for minimizing morbidity while still achieving an optimal aesthetic result.

Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea

Correspondence to Yong J. Jang, MD, PhD, Professor, Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-ro 43-gil, Songpa-gu, Seoul 138-736, Korea. Tel: +82 2 3010 3710; fax: +82 2 489 2773; e-mail:

© 2012 Lippincott Williams & Wilkins, Inc.