Nasal implants are used in rhinoplasty to augment the nasal dorsum or bridge. Many Asians and African-Americans don’t have prominent noses and are deficient in the height of the nasal bridge. So the lack of nasal dorsal or bridge height tends to make the nose look short and fat. It also makes the eyes appear too far apart. Finally, lack of forward nose projection also tends to make the face look too flat and round. Augmentation of the nasal bridge helps to elongate the nose and gives the face a more refined and balanced appearance.

Most plastic surgeons prefer to use natural materials for nasal augmentation. This material is called an autologus graft, and is usually harvested from the patient’s nasal septal cartilage, ear cartilage, ribs, or bone. While autologus grafts are better accepted by the patient’s body and have a less chance of infection; they do partially re-absorb or shrink. Besides requiring an additional surgery to harvest these grafts from a patient’s body, often the amount of tissue available for harvest might be limited and not enough to achieve the desired augmentation. On the other hand, synthetic grafts or implants come in a variety of shapes and sizes. They don’t require added surgery to harvest a graft, and don’t re-absorb or shrink after implantation. The disadvantage of synthetic nasal implants is that they carry a higher chance of infection or extrusion. These implants are typically made from Silicone, Gortex or PTFE.

For many years, a “one size fits all” “Caucasian” implants were used on all patients. Today, however, plastic surgeons tailor implants according to specific facial characteristics of various ethnic groups, including African-Americans, Hispanic, and Asian patients.

Of course, great results are not guaranteed, but we can ensure that there are skilled Los Angeles cosmetic surgeons who will choose the appropriate implant size and shape, and might even carve and modify them to customize the implant for the patient’s ethnic traits and specific facial features.

Rhinoplasty may be the best option for a broken nose which may include a fractured bone and/or cartilage in the nose, misalignment of the nose and a septal hematoma which is a collection of blood forming a clot in the nose.
Before proceeding to our main topic, first of all let’s explore the symptoms associated with a broken nose, including:
•    Nose bleeding after trauma to the nose, especially when it lasts for more than 15 minutes.
•    Difficulty breathing through the nose after injury to the nose.
•    Crooked or misaligned nose.
•    Excessive swelling of the nose and pain.
It is important to seek out medical attention should you experience symptoms of a broken nose within 72 hours of the incident. This can help avoid possible complications which may result from injury to the nose and will also leverage optimal results after nose injury. Ear, nose and throat surgeons are very well familiar with complications that may result after a nose is broken. Cosmetic surgeons receive advanced training in aesthetics to focus surgery on the cosmetic appearance of the nose.

First of all the nose should be evaluated within 72 hours of the injury. During a nose evaluation, the physician will examine inside the nostrils to see if there is any evident internal damage. In some cases, a cat scan may be performed in order to evaluate the septum, sinus channels, bone, cartilage and the surrounding tissue. The physician will treat any urgent concerns such as obstructions like a blood clot that may require draining. Realignment of the nose may be made at the initial treatment phase, but sometimes it is postponed until up to ten days maximum following nose injury. In fact, rhinoplasty for nose realignment should be performed as soon as possible after the injury. Even when nose realignment is performed without surgery, people with broken noses may consult with plastic surgeons as soon as possible to refine realignment, if necessary.
Rhinoplasty for a broken nose is a complicated surgery and only a highly qualified surgeon may ensure best possible results. Los Angeles cosmetic surgeon Dr. Armen Vartany treats broken noses using a rhinoplasty procedure in his Los Angeles office.