Live Surgery: Asian Rhinoplasty Nose Job Using Medpor (Porous Polyethylene) by Seattle Dr Young

Hi this is Dr. Young Facial Plastic Surgeon in Seattle. Right Now I’m talking about Asian Rhinoplasty This can actually apply to different ethnicities. Essentially when you discuss Asian Rhinoplasty and Rhinoplasty when you’re augmenting the nose is really, you want to enhance the nasal bridge a lot of the time and a lot of the times, people, such
as my asain clients, tend to want want their nose to be shaped finer in the tip region. What is the practice in the past, has essentially been the use of silicone Implants in the dorsum and the tip. Alot of
times that can lead to different problems. such as extrusion. Which can be really common with Silicone. Silicone implants never get incorporated within the tissues. And hence you have a capsule that always has a possibility of getting extruded. or some type of infection if it gets hit. The
implant that I feel is better is called… Medpor which is another name for porous polyethylene. Essentially when porous polyethylene gets incorporated in the tissues …, and that usually occurs around 12 weeks. The implant starts to act.. like your own tissues. And this is what I’m going
to show and discuss with you in this rhinoplasty Right now I’m going to expose the nasal
tip region. And as you can see… These are the tip cartilages. These are the lower lateral cartilages. And they are refined already. And in addition they are elevated already. What you see just in between the nasal
cartilages is the remnant of the medpor …that are sheets. That I’ve cut into long
pieces that are attached to the septum. To allow the tip cartilages to be thrust forward in a more refined position. I use sutures to narrow the tip as well as these tip cartilages.. And right here as you can see here. The
medpor dorsal implant is already in place. And it’s already sutured to the septum. And we’re going to later on
put a wire through that implant to hold it in place. And, so that is my technique for implanting the
Asian nose of the nose of different ethnicities. who require nasal augmentation I use a medpor implant for the dorsum And for the area that is most likely to extrude
in the nasal tip, I use nasal sheets… to thrust the natural cartilages forward. So that what is against the nasal skin… is actually their own cartilages. So the extrusion rate is much lower. In addition, if you want more presentation of the nasal tip you
can also put more tip cartilages right in this area. But the sheet that I was able to use
to thrust these nasal tip cartilages forward, has given me enough presentation of the cartilages. Now, I’m going to show you the little implants that I have cut. I cut approximately 6mm or 7mm of width
of this plate or sheet of medpor And that’s what I use to thrust the nasal cartilages forward. So right now what we are going to do
is essentially put a wire through the implant And were essentially done and we’re closing this. And that’s it for Asian Rhinoplasty. I have more on this subject on our website discussing how this is done And I just wanted to show a video to explain how I do
augmentation rhinoplasty in the Asian patient as well as different ethnicities. who require augmentation of the nasal bridge and nasal tip Thank you!

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