Hi
Autologus cartilage is the only implant used for columella. In case of premaxillary augmentation I think the unbalance of the face that the nose has caused is due to the surgery. If the same amount is inserted to both sides of the nose equally that unbalance won't happen.

>would you put a piece of cartilage or gore-tex in my columnella?
>
>also for pre-max surgery is it normal for the pre-maxillary implant on one side of the face to be slightly raised than the other side? because my friend had got a pre-maxillary implant put in his face and one side of his face looks bigger than the other side and when you touch it it is hard....so i dont think it is the swelling because you can feel the implant?

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