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Agrawal et al. Complications of Medpor implants
The authors prefer using a derma-fat graft as a filler Manuscript’s writing and editing: K. Agrawal, R.
and spacer until definitive augmentation surgery can Shrotriya
be done after four to six months. The graft provides
temporary support and avoids dorsal depression in Financial support and sponsorship
the intervening period before the definitive surgery None.
is performed. It also avoids adhesion of the thinned-
out dorsal skin to the dorsum, and the dermis of the Conflicts of interest
derma-fat graft provides good thickness to the dorsal There are no conflicts of interest.
skin. It allows the resolution of the infection and, during
the later surgery, provides an easy dissecting plane Patient consent
between the dorsum and fat, thereby avoiding further
complications. Obtained.

Ethics approval
Extensive online literature search on PubMed yielded
no references on ways to remove Medpor implants. Obtained.
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Although the authors developed this technique for
removal of nasal dorsal implants, it has also been REFERENCES
found to be useful for removal of Medpor implants in 1. Spector M, Flemming WR, Sauer BW. Early tissue infiltrate in porous
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many other sites like malar and chin implants. polyethylene implants into bone: a scanning electron microscope
study. J Biomed Mater Res 1975;9:537-42.
Thus, the technique of removal of Medpor implants 2. Cenzi R, Farina A, Zuccarino L, Carinci F. Clinical outcome of 285
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and using derma-fat graft as a filler before definitive Medpor grafts used for craniofacial reconstruction. J Craniofac Surg
autograft augmentation is a simple and safe solution 3. 2005;16:526-30.
Berghaus A, Stelter K. Alloplastic materials in rhinoplasty. Curr Opin
to a common problem, and avoids associated Otolaryngol Head Neck Surg 2006;14:270-7.
complications by providing a cushion to the dorsal skin 4. Peled ZM, Warren AG, Johnston P, Yaremchuk MJ. The use of
and a simple plane for future dissection. Some patients alloplastic materials in rhinoplasty surgery: a meta-analysis. Plast
may not even need further augmentation. Reconstr Surg 2008;121:e85-92.
5. Kim HS, Park SS, Kim MH, Kim MS, Kim SK, Lee KC. Problems
Authors’ contributions associated with alloplastic materials in rhinoplasty. Yonsei Med J
2014;55:1617-23.
Concept design: K. Agrawal 6. Chaudhury N, Marais J. Use of porous polyethylene implants in nasal
Literature search: R. Shrotriya reconstruction. Clin Rhinol 2011;4:63-70.

56 Plastic and Aesthetic Research ¦ Volume 4 ¦ March 30, 2017