Anatomical evidence of microbial biofilms in an alloplastic nasal implant

Shaun C. Desai, Arash Moradzadeh, Gregory Branham

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


Recently, bacterial biofilms have been proposed as a potential cause of the extreme resistance to antibiotics and impaired host responses in potentially infected facial implants. As opposed to the bacteria in a free-floating or planktonic state, biofilms exist in a sessile form, adherent to a solid or liquid interface and become embedded in a complex matrix that is oftentimes impenetrable to modern day antibiotics. This can lead to chronic infection of implants which ultimately necessitates their removal in a majority of cases. In this novel case report, we show thehis tomorphological appearance of biofilm formation in a patient with an alloplastic nasal implant that was persistently infected and had to be removed. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a fulldescription of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors

Original languageEnglish
Pages (from-to)468-471
Number of pages4
JournalAesthetic Plastic Surgery
Issue number2
StatePublished - Apr 2013


  • Biofilms
  • E-PTFE
  • Gore-Tex
  • Infection
  • Nasal implants
  • Scanning electron microscopy


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