The use of Medpor ª alloplastic material in rhinoplasty: Experience and outcomes Athanasios Skouras*, George Skouras, Dimitrios Karypidis, Fygalia-Anna Asimakopoulou IASO General Hospital, 256 Mesogion Str., Athens, Greece Received 6 January 2011; accepted 2 August 2011 KEYWORDS Functional rhinoplasty; Medpor Ò ; Alloplastic; Graft; Implant Summary Surgeons often avoid the use of alloplastic materials in functional rhinoplasty due to potential complications. The aim of the present study is to present the outcomes following the use of alloplastic materials in a large series of patients, to identify and document the possible complications and to offer insight regarding the safety and the indications of the method. Materials and method: Between February 2005 and August 2009, 58 patients underwent func- tional rhinoplasty using Medpor Ò alloplastic materials by a single surgeon (A.S). The majority of the alloplastic materials were used to reconstruct defects of the nasal dorsum as well as to augment the columella and support the nasal tip. Results: Medpor Ò was used in the nasal dorsum in eight patients and in the columella in 50 patients. There were 10 cases of primary and 48 cases of secondary rhinoplasty. Follow-up time ranged from 1 to 5 years (mean: 3 years). Complications concerned three cases of postopera- tive infection and material rejection. All cases were successfully re-operated. Conclusion: The use of Medpor Ò alloplastic material in functional rhinoplasty comprises a safe method in selected patients due to the low complication rate, as shown in our series. It could therefore be considered as a useful alternative when reconstruction is problematic due to low quality or lack of available autologous grafts. ª 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. The use of grafts has been an established practice in functional and aesthetic reconstruction of post-traumatic nasal defects and in secondary rhinoplasty. In addition, the application of grafting techniques has also been increasing in primary rhinoplasty. 1 Standard use of autologous grafting includes cartilagi- nous grafts from costal and auricular donor sites and bone grafts from the iliac crest. 2 However, the use of autologous grafts may be contraindicated when graft quality could be impaired due to associated injuries or when donor-site * Corresponding author. Functional Rhinoplasty Department, 71 Voutsina str., Holargos, Athens, Greece. Tel.: þ; 30 6944695985. E-mail address: skourasathan@yahoo.gr (A. Skouras). Journal of Plastic, Reconstructive & Aesthetic Surgery (2011) xx,1e8 + MODEL Please cite this article in press as: Skouras A, et al., The use of Medpor ª alloplastic material in rhinoplasty: Experience and outcomes, Journal of Plastic, Reconstructive & Aesthetic Surgery (2011), doi:10.1016/j.bjps.2011.08.003 1748-6815/$ - see front matter ª 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. doi:10.1016/j.bjps.2011.08.003