Introduction. A new technique of implantation of high-density porous polyethylene nasal dorsal implants in Asians is described in this paper. Silicone sizers, which have smooth surfaces, were used to facilitate implantation of porous polyethylene implants in Asian patients. Materials and Methods. Twenty-three patients of Asian descent underwent dorsal augmentation rhinoplasty with open technique using high-density porous polyethylene implants. In all cases, silicone sizers were used to facilitate implantations of high-density porous polyethylene nasal dorsal implants. Patient selection criteria exclude patients with history of cocaine use, history of nasal or sinus disorders, previous nasal surgery, deviated septum, poor cartilage support, and thin skin. Results. No bleeding, infection, rejection, displacement, or extrusion was noted. One implant was removed because of a patient's dissatisfaction with the resulting tip height. Conclusion. The use of silicone sizers to facilitate implantations of high-density porous polyethylene nasal dorsal implants was safe and efficacious. 1. Introduction A new technique of implantation of high-density porous polyethylene nasal dorsal implants in Asians is described in this paper. Successful use of porous polyethylene implants to augment nasal dorsum of Asians and other races was previously reported [1–5]. The rough surface of porous polyethylene implants presents challenges to implanting this alloplastic material in Asian patients, who typically have small and short columella. In this paper, use of silicone sizers, which have smooth surfaces, to facilitate implantation of porous polyethylene implants in Asians is described. A review of medical literature showed that this paper is the first to describe such technique. 2. Materials and Methods Charts of twenty-three patients of Asian (Chinese, Filipino, Cambodian, and Vietnamese) ancestries, one male and twenty-two female patients with age ranging from 20 to 57 years old, who underwent dorsal augmentation rhinoplasty with open technique using high-density porous polyethylene implants (Petite Nasal Dorsal Implants, manufactured by Stryker CMF, Newnan, Georgia, USA) from 2003 to 2011 were reviewed. The average length of follow up was 36 months. In all cases, silicone sizers (manufactured by Stryker CMF, Newnan, USA) were used to facilitate implantation of porous polyethylene nasal dorsal implants. Patient selection criteria exclude patients with history of cocaine use, history of nasal or sinus disorders, previous nasal surgery, deviated septum, poor cartilage support,
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