The Efficacy and Complication Rates of Augmentation Rhinoplasty Using Autologous Cartilage Versus Silicone Implants: A Comprehensive Systematic Review

Abstract

Background: Rhinoplasty is a prevalent cosmetic procedure aimed at enhancing nasal appearance, employing materials such as autologous cartilage (AC), silicone prostheses (SP), and expanded polytetrafluoroethylene (ePTFE). The choice of material significantly impacts surgical outcomes, particularly in Asian rhinoplasty, which faces unique anatomical and aesthetic challenges. Methods: The review followed PRISMA 2020 guidelines. We analyzed studies from 2014 to 2024 that directly compared AC with SP or ePTFE in Asian populations. Result: We selected five papers that were considered very pertinent to our ongoing systematic inquiry. Subsequently, we selected certain topics for further examination and meticulously evaluated each report. Conclusion: This review finds that autologous costal cartilage is preferred for nasal tip reconstruction due to its strength and biocompatibility, though it may cause warping and donor site issues. Alloplastic materials are effective for dorsal augmentation but can lead to infection and displacement, particularly at the nasal tip.