Is Autologous Dermal Rhinoplasty Better Than Silicone?

I’ll Tell You the ‘Truth’

Hello.

This is 오브제성형외과.

When looking into rhinoplasty,

you may come across posts saying that autologous tissue is a safer material than silicone.

That is why these days,

many people believe that using their own tissue, such as in autologous dermal rhinoplasty or autologous rib cartilage rhinoplasty,

is the only safe option.

If you opened this post, you may be concerned about using silicone,

but also unsure whether using your own tissue is truly the better choice, leaving you torn between the two options.

Today, to help ease those concerns, I’ll explain, in order, how silicone implants have been evaluated, the main factors behind inflammation and contracture after rhinoplasty,

and the characteristics of autologous tissue.

After reading to the end, you should have a clearer basis for choosing the material that suits your nose.

Silicone Is Dangerous?

Not Really!

To answer the title first, it is difficult to say that autologous dermal rhinoplasty is unconditionally better than silicone.

Silicone is one of the most representative implant materials used in rhinoplasty, and it has been used for the longest period of time.

Although numerous alternative materials have appeared over the decades,

silicone still plays a central role in procedures to raise the bridge of the nose.

This means that its shape does not change and that the bridge line remains stable— characteristics that have been confirmed over a long period of time.

If silicone implants caused problems simply because of the material itself, they could not have been used as a central material for so long.

Inflammation and Contracture:

The ‘Real Cause’ Lies Elsewhere

Then why do the problematic cases you see online occur?

Contracture refers to a condition in which the tissue around an implant becomes firm and contracts, changing the shape of the nose.

Such changes are much more often caused by factors other than the material itself.

One representative factor is a design with excessive height that falls outside the proportions of the face.

If the bridge is raised more than necessary, the skin may be pulled thinly depending on the individual’s skin thickness and tissue condition,

and the pressure exerted by the implant on the skin may also increase.

As the burden placed on the tissue increases, the possibility of inflammation or contracture may also rise.

The surgical technique is also an important factor.

If an implant is placed in an unstable position without examining the internal structure of the nose, or if the tissue is handled excessively,

problems may occur regardless of the material used.

Frequently touching the nose after surgery or experiencing external impact can also have an effect.

Ultimately, it is important to remember that inflammation and contracture are not caused by silicone alone.

They are the result of the design, surgical technique, and postoperative care working together.

Autologous Dermal Rhinoplasty:

Its ‘Limitations’ Must Also Be Considered

Because autologous dermal rhinoplasty uses tissue from your own body, it clearly has the advantages of causing less concern about a foreign-body sensation

and providing a natural feel.

However, dermal tissue is partially absorbed by the body over time.

The issue is that the degree of absorption varies from person to person.

Even if you want to raise the bridge by 3 mm, it is difficult to know in advance how much tissue will be absorbed.

As time passes, the height may therefore differ from what was initially planned.

Also, unlike silicone, dermal tissue does not have a fixed shape,

so it may be less suitable for those who want a clearly defined bridge line.

The same applies to autologous rib cartilage, which is also frequently considered as an alternative to silicone.

In addition to the process of harvesting cartilage from the chest area,

there are cases in which the cartilage bends over time, causing its shape to change.

In other words, autologous dermal rhinoplasty is not a universal material suitable for every nose.

If you clearly understand the characteristics and limitations of each material, it should be much more helpful when making your choice.

Today, we discussed which material may be the better choice between silicone and autologous tissue.

Silicone is an implant that has been used for a long time, with its stability and durability confirmed over the years.

Autologous dermis and autologous rib cartilage, on the other hand, have the advantage of being your own tissue, along with characteristics such as absorption and changes in shape.

Ultimately, the key is not the name of the material, but whether it is suitable for your nose.

People with thick or thin skin, those with a strong or weak nasal bone structure, those who want a clearly defined line, and those who prefer a subtle change—

the results can differ completely depending on these conditions, even when the same material is used.

Dr. Lee Kyung-mook of 오브제성형외과 does not recommend surgery after deciding on a specific material in advance.

After examining the skin thickness, the internal structure of the nose, and even the desired appearance,

he recommends the material and surgical approach most suitable for that individual nose from among silicone, autologous dermal rhinoplasty, and rib cartilage.

If you have already decided on a material because you are worried about silicone or have only heard that autologous tissue is better,

we recommend first having a consultation to assess the condition of your nose.

This has been 오브제성형외과.

Thank you.

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• This post contains medical information prepared by 오브제성형외과의원 in compliance with the Medical Advertising Act.

• The effects of the procedure may vary from person to person, and side effects may occur.

We recommend that you make a decision about the procedure only after having a thorough consultation with a medical professional in advance.