ABSTRACT
Nasal reconstruction presents a significant challenge to the facial plastic surgeon.
The dual goals of reconstruction are restoration of the desired aesthetic nasal contour
and an improved nasal airway. Autologous cartilage and bone are considered optimal
grafting material, but their supply is often limited and harvesting entails additional
morbidity. Many synthetic materials have been introduced in nasal reconstruction,
but high infection and extrusion rates limited their use. Porous high density polyethylene
implants present an alternative to autologous material as they allow for fibrovascular
ingrowth, leading to stability of the implant and decreased rates of infection. Herein
we describe the use of porous high density polyethylene implants for reconstruction
of the platyrrhine nose and in revision rhinoplasty. The use of preformed nasal-dorsal
tip and alar batten implants are described, as well as the use of columellar strut
and premaxillary plumper implants. We believe that porous high density polyethylene
implants provide a safe, desirable alternative in functional and aesthetic nasal reconstruction.
KEYWORD
polyethylene implants - nasal reconstruction - revision rhinoplasty - Medpor - playtrrhine
nose - alar battan implants
