Use of Medpor implants in rhinoplasty surgery

The gold standard for graft material in nasal reconstruction has been autologous tissues such as cartilage from the septum, ear or rib, or bone from the rib, iliac crest or calvarium. However, with the increased demand for revision rhinoplasty, the supply of autologous tissues may be limited, and the use of alloplastic material provides a safe alternative. Medpor, which is a biomaterial composed of porous high-density polyethylene (PHDPE), has proven to be a dependable implant and has been widely used in craniofacial reconstruction and rhinoplasty surgery. Specific qualities of Medpor include: excellent contouring capabilities, prefabricated shape availability, ingrowth of innate vasculature that allows for increased mechanical stability, decreased risk of implant migration, and decreased risk of infection. This article discusses the precise technique utilized for nasal dorsal augmentation with Medpor implants. Emphasis is placed on describing techniques to use to avoid complications related to alloplastic materials.