What about Permacol for a nasal implant?

This was a question I answered from someone who had his ear cartilage implanted into his nose during a rhinoplasty (nose job / nose cosemetic surgery / nose plastic surgeyr / nose reshaping / nose shaping) for a broken nose when he was young that reabsorbed over a year.

That wouldn’t be my top choice. This product will get absorbed and might have a potential for an allergic reaction. The manufacturers state that the implant is eventually replaced with your collagen.  I think that this needs to be further proven.  My position on new products is that I let others make the mistakes with it first and then I’ll use it if it has proven itself over 5-10 years time and has shown a strong safety record.  Because you have had previous implants with yourown ear cartilage I would suggest that you might want to think about rib grafts . Cranial bone grafts are an option but they are considered by many to be too firm in the nose and have a variable absorption rate.  A rib graft does have a significant commitment associated with it that you would need to accept.  An alternative would be a silicone implant that is a better option with your first surgery but less so the more revisions you have. I wouldn’t consider an implant after the first revision.  The risks of infection goes up. But possibly for the second revision if you really didn’t want a rib graft.

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

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