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Agrawal et al. Plast Aesthet Res 2017;4:54-6 Plastic and
DOI: 10.20517/2347-9264.2017.06
Aesthetic Research

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Letter to Editor Open Access

Management of complications of Medpor
®
implants in rhinoplasty

Kapil Agrawal, Raghav Shrotriya

Department of Plastic and Reconstructive Surgery, Seth GS Medical College and KEM Hospital, Mumbai 400012, India.
Correspondence to: Dr. Raghav Shrotriya, Department of Plastic and Reconstructive Surgery, Seth GS Medical College and KEM Hospital, Opp
Ward 16, 2nd Floor, Gynec Wing, Mumbai 400012, India. E-mail: dr.raghav.s@gmail.com

How to cite this article: Agrawal K, Shrotriya R. Management of complications of Medpor implants in rhinoplasty. Plast Aesthet Res 2017;4:54-6.
®
Article history: Received: 28-01-2017 Accepted: 09-03-2017 Published: 30-03-2017

Dr. Kapil Agrawal is Professor of Plastic Surgery at Seth GS Medical College and KEM Hospital, Mumbai (India).
His major interests are in facial aesthetic surgery, particularly rhinoplasty. He has numerous publications on
various techniques related to rhinoplasty, notable amongst them being the Counterbalancing technique to prevent
warping in costal cartilage grafts, Diced cartilage under perichondrial carpet (DCUP) technique for nasal dorsal
augmentation, Text Neck photographic view for nasal dorsal abnormalities in crooked noses, ingenious technique
for alar reduction and auto-fat grafting for post traumatic facial contour deformities.

Dr. Raghav Shrotriya is a senior registrar in Plastic Surgery at Seth GS Medical College and KEM Hospital, Mumbai
(India). His major interests are facial aesthetic surgery as well as reconstructive microsurgery. He has been
associated with the senior author (KSA) in many surgical and literary endeavours and likes to pursue formal and
informal writing while he is not operating, the notable amongst them being an account of his life as resident in the
burn ward.

Sir, sizes ranging from 100 to 250 µm. This allows maximum
fibrous tissue ingrowth and relative incorporation into
Implants are widely used currently in aesthetic surgery host tissue. This property represents its primary
[1]
to provide augmentation or support. To provide better strength but also its greatest weakness.
stability, alloplastic materials such as porous high-
density polyethylene (Medpor ) implants have been The authors’ experience has been that the presence of
®
used in rhinoplasty and other procedures. Medpor is the Medpor implant causes thinning of the overlying
®
®
manufactured from linear high-density polyethylene skin envelope and although the implant becomes
through the process of sintering in which small particles densely adherent to the surrounding soft tissue, it does
are fused together at high temperature and pressure, not bond with the underlying bone or cartilage firmly
so that it is composed of 50% porous volume with pore enough and hence mild mobility is always a problem.
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