15.  What are the various alloplastic implants that can be used for augmentation rhinoplasty?  What are the advantages and disadvantages of each?  When would you use bone rather than alloplast?

Answer:
Alloplastic implants: Proplast, silicone

Advantages: Pre-cut, moldable, no donor site morbidity, quicker operating time.

Disadvantages: Extrusion, infection, visibility, easy palpability, inflexible, inflammtory response leading to vast scarring.

One would use cartilage in most nasal surgery first, then bone (cranial bone), and lastly, alloplasts.
 

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