Decreased complications due to application of aerocraft silicone implant in rhinoplasty of preselected patients

Background: In Asia, augmentation rhinoplasty is very common. Although various surgical methods and materials have recently been developed, rhinoplasty using silicone implant remains the most common procedure. However, no standards for the shape and size of the silicone implants exist, and many patients suffer from complications such as deviation, perforation, skin thinning, and extrusion. Objective: We analyzed the effect of performing augmentation rhinoplasty using implant design that craved into the resembled shape of “aerocraft” on nose proportion and complication rates. Methods: From January 2014 to December 2016, 310 patients who qualified for silicone rhinoplasty based on the indication, considering five parts of silicone corresponding to the nasal anatomy (columella, tip, supratip, dorsum and nasion) underwent augmentation rhinoplasty using the “aerocraft silicone implant.” The results of the surgeries and the rates of complications were studied. We performed retrospective analysis of preoperative and postoperative photographs of randomly chosen 42 patients and compared their nose proportion profile. Results: The results of the modified nasofacial angle showed statistically significant change, but changes in the nasofrontal angle, nasolabial angle, nasomental angle, and nasal tip ratio were not statistically significant. Most of the patients for whom “aerocraft silicone” was used for the rhinoplasty showed very satisfactory aesthetic results during a follow-up of 1 month to 18 months and had only minor complications; the implant removal rate was very low as well. Conclusion: The use of “aerocraft silicone” for nasal augmentation is safe and effective when performed in selective cases. Good results will be accomplished when the implant is crafted to fit into the patient’s nasal anatomy and limits the augmentation to avoid long-term complications.