A Quick Look at the Types of Autologous Tissue Rhinoplasty Implants and a Comparison of Their Pros and Cons

Because it is located at the center of the face, the nose plays a major role in determining a person’s first impression and overall atmosphere, and it has the largest influence on the appearance of the facial features.

For that reason, people who are not satisfied with the shape of their nose—such as a bulbous nose, aquiline nose, arrow nose, or upturned nose—often end up considering rhinoplasty at least once.

However, in many cases, rhinoplasty inevitably requires the use of implants. Because of this, many people are afraid of the surgery itself. Most hesitate to proceed with the operation because of concerns about artificial implants or fears of possible side effects.

That is why quite a few plastic surgery clinics use autologous tissue implants for rhinoplasty.

Today, we will take a look at the types and pros and cons of autologous tissue rhinoplasty implants.

Ideal Nose Shape and Proportions

When the nose is divided vertically into five equal parts, the ideal is considered to be a width similar to the distance between both eyes, about one-fifth of the face length, and a nasolabial angle of around 95 to 105 degrees. For women, if the angle is narrowed to below 90 degrees, the tip of the nose can look long or drooping, making the person appear older. If the angle is greater than 110 degrees, the nose can appear upturned. Even if the bridge height and nostril width are the same, if the shape and angle are not natural, it is difficult to regard the nose as ideal and beautiful.

Comparison of the Types and Pros and Cons of Autologous Implants for Autologous Tissue Rhinoplasty

Autologous tissue rhinoplasty, which does not require separate hospitalization after surgery and allows stitch removal after 5 to 7 days to help achieve satisfying long-term results, proceeds in the following order: selecting the autologous tissue suitable for each individual, harvesting the tissue from the chosen area, performing delicate suturing, designing the shape of the autologous implant to fit the surgical area, incising and dissecting the surgical site, and then implanting the autologous implant into the surgical area.

Types and Characteristics of Autologous Tissue Implants

The autologous tissue implants mainly used include autologous dermis, septal cartilage, ear cartilage, costal cartilage, temporalis fascia, and autologous fat.

Autologous Dermis

The dermis is harvested from the thickest lower buttock area beneath the tailbone. Autologous dermis is the thickest and highly elastic, so it does not spread sideways in shape, and once the dermis takes, it has the characteristic of not causing deformation in the nose.

Septal Cartilage

This cartilage stands like a board inside the partition between the two nostrils, and because it has a plate-like shape, it helps effectively support the nasal tip structure.

Ear Cartilage

It is softer than septal cartilage and has a curved shape, which helps create a more natural-looking nasal tip.

Costal Cartilage

It is used when creating a more refined and elevated nasal tip, or when the septal cartilage is small and insufficient, or in cases of contracture. Autologous costal cartilage can be harvested, and if there is not enough, donor costal cartilage from another person may also be used.

Temporalis Fascia

It is used to improve situations where the implant looks angular or appears to show through severely after surgery. Wrapping the implant with fascia is effective in giving it a softer and fuller feel.

Autologous Fat

Fat is harvested from the abdomen or thighs to raise a low nasal bridge, and it has the advantage of allowing additional treatment in sunken or insufficient areas without removing silicone after surgery.

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