The mean postoperative follow-up duration was 26 months. No significant complications have been reported, such as infection, displacement, discoloration, or extrusion. Moderate resorption (<50 percent) has been observed in two patients only, whose original implants were 3 and 4.5 mm, respectively. These two patients did not present with any local or systemic risk factors that might have affected wound healing.
Our experience with nasal augmentation using Permacol in saddle nose deformity is encouraging. The material can be easily handled and shaped. Because of its soft consistency, it does not cause sharp edges or rigidity under the nasal skin envelope. Resorption is minimal and it is not necessary to overcorrect the defect intraoperatively. Postoperatively, the implant does not shift, as it can be sutured in place, and no infections have been observed. We recommend this approach in patients seeking rhinoplasty who do no have sufficient donor septal or auricular cartilage and will not accept autogenous graft donor-site morbidity or irradiated cadaveric homogeneous grafts. However, patient refusal of implant material derived from porcine tissue is a potential disadvantage.
Stephen Lo, M.D., M.B.A., B.Med.Sc.
Bruno Kenway, M.R.C.S., D.O.H.N.S.
The patient provided written consent for the use of his images.
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4. Cosson M, Boukerrou M, Lobry P, et al. Mechanical properties of biological or synthetic implants used to treat genital prolapse and stress incontinence in women: What is the ideal material? (in French). J Gynecol Obstet Biol Reprod (Paris)
5. Salomon LJ, Detchev R, Barranger E, Cortez A, Callard P, Darai E. Treatment of anterior vaginal wall prolapse with porcine skin collagen implant by the transobturator route: Preliminary results. Eur Urol.
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