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Augmented Asian Rhinoplasty

The Art and The Science

Past, Present and

Characteristics of Asian
 Wash out dorsum or saddle deformity
 Deficient tip projection
 Wide lobule, thick lobular skin
 Abundant subcutaneous fatty tissue
 Alar flaring
 Retracted columella
Asian saddle nose
Asian Rhinoplasty requires
 Augmentation of dorsum area
 Augmentation on top of lateral cartilage area
 Augmentation of columella-tip area for tip
projection and increase nasal length
 Refining the lobule/tip area
 Decrease the width of the nostrils
Augmentation Asian
In the old day of Asian rhinoplasty
 Injected liquid paraffin or
liquid silicone

 L-shaped alloplastic
implant, mainly
silicone elastomer.

 Rib autograft or homograft.
To the Present time
 Novel design silicone
implant with tip protection
using ear, septal or lower
lateral cartilage.

 Autogenous costal cartilage

 Autogenous ear cartilage graft
in multiple layers(onlay graft).
To the present time (continue)
 Bioplastic.
The weird technology:
hard silicone in solvent.

 Fabricated
complex from both
ears into auto-nasal
What is the perichondrocartilage complex?

 Cartilage with intact

 In asian rhinoplasty, we Finish Harvest
harvest this complex from
both external ears.

 The complex will function
as a living tissue when it is
implanted in human body. Fabricate Design
From raw materials to finished bioprosthesis
Bioprostheses correct the problems of
silicone prosthesis in Asian rhinoplasty
 Infection

 Protrusion

 Perforation
Bioprostheses correct the dorsum
injecton of liquid silicone
Bioprostheses in miscellaneous
Bioprostheses and Asian
ขยายความจาก มติ
ชน สุดสัปดาห์
โปรเฟสเซอร์ แวร์เนอร์ มางก์ จาก รพ. โบเก็นเซ

ซึ่งมีช่ ือเสียงทางศัลยกรรมตกแต่งจมูกได้สวย
ที่สุดคนหนึ่ งได้กล่าวว่า

“ กระดูกอ่อนที่หู เป็ นวัสดุช้ันยอด
สำาหรับการตกแต่งจมูกใหม่ ไม่ใช่ซล ิ ิ
The future is coming
 Regenerative medicine :
In the future, tissue damages will be replace with
tissue substitutes.

 Tissue engineering:
Bioengineer and biomedical engineer make tissue
substitutes as “body parts” and ready to use. No more donor
site morbidity and deformity at all.
In cartilage tissue engineer lab

 Silicone elastomer and new inert biomaterials still have place in
asian rhinoplasty.

 Autogenous cartilage fabrication in the form of nasal prosthesis
will replace and use more and more.

 Cartilage tissue engineering in the form of nasal
prostheses will be used in the future.