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Goretex Sheets Vs Goretex Blocks for Rhinoplasty?

Hello Doctors! Between goretex sheets and goretex blocks, which one do you prefer the most? Why? Your responses would be a huge help and would be greatly appreciated.

Doctor Answers (13)

Gortex in the nose

+3

We have never placed gortex in the nose. We have removed several  infected gortex implants that were placed in the nose from other offices. It is always best to use patient's own cartilage rather than synthetic implants


Seattle Facial Plastic Surgeon
5.0 out of 5 stars 55 reviews

Which is better: Goretex sheeting or Goretex blocks for rhinoplasty?

+3

My recommendation would be to avoid any alloplastic materials in the nose.  That would inlcude expanded polytetrafluoroethylene (Goretex), silastic or porous polyethylene (Medpor).  Instead, search out a surgeon who is experienced using autografts (tissue taken from elsewhere in your body and transferred to the nose).

Mario J. Imola, MD, DDS, FRCSC.

Mario J. Imola, MD, DDS
Denver Facial Plastic Surgeon
5.0 out of 5 stars 46 reviews

Goretex Sheets Vs Goretex Blocks for Rhinoplasty?

+2

 Neither, I don't use or recommend the use of Gore tex for grafting in Rhinoplasty as I believe that it can and does become infected for no apparent reason years after the surgery.  For tip grafts, I prefer conchal cartilage and for dorsal grafts I prefer straight silastic dorsal implants.  I believe that each of these are the "gold standard" for their prospective areas in the nose.  Other Rhinoplasty Surgeons may have other opinions but I base mine on over 25 years of performing Rhinoplasty and Revision Rhinoplasty.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

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Gortex in Rhinoplasty Surgery

+2

Over the past 35 years I've always preferred the use of the patient's own tissue rather than synthetics like Gortex. As we have said in previous communications, I recommend that you wait at least a year after your previous operation before considering any revisions.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

Implants in the Nose

+2

    Foreign materials in the nose may present issues such as infection, extrusion, and migration.  If you are considering augmentation or stabilization, autologous material may be a better choice.

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 192 reviews

Gortex in the nose

+2

I am not a fan of gortex for the nose. I prefer autologous tissue for augmentation. Good luck with your choice.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 16 reviews

Avoid synthetic nasal implants if possible

+2

There are plenty of sources for dorsal nasal grafts, including cartilage from the ear, nose and even the rib. In the case of rhinoplasty, its best to avoid implantation of a synthetic material when other autologous sources are available.

Scott C. Sattler, MD, FACS
Seattle Plastic Surgeon
4.5 out of 5 stars 34 reviews

Goretex for Rhinoplasty

+2

Hello,

I know you've heard the consensus: foreign bodies in the nose don't always do so well, especially in the long run.  Having said that, silastic rubber implants for augmentation of the bridge has the best track record, but only in noses that have never been operated on before.  No implants do well in augmenting the tip. If this is a reoperation, it is best to use your own cartilage, which might mean using a small piece of ear or rib.  

Best of luck!

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 28 reviews

Gortex for rhinoplasty

+2

It would be unusual for me to recommend goretex for a rhinoplasty procedure. Foreign material can warp with excess scarring, can get infected, and can extrude (work its way out of the skin).  The best materials are your own tissues.  Is there a problem with your ear, nose, or rib cartilages?

 

Hard to comment without pictures.

 

Be sure to consult a Board Certified Plastic Surgeon who can show you a comprehensive portfolio of pre- and post-op pictures.

Daniel Greenwald, MD
Tampa Plastic Surgeon
5.0 out of 5 stars 11 reviews

GoreTex for rhinoplasty

+2

I would agree that the best option in rhinoplasty is always to use your own tissue.  If for some reason I were to use GoreTex, the choice between sheets and blocks would be made dependent on the individual case.  The sheets are thinner and would be used for finer augmentation, whereas the blocks generally would be used for greater augmentation and would need to be carved.  Personally, I would not really see a need to use blocks for the nose as normally that amount of augmentation is rarely needed.    

Michael I. Echavez, MD
San Francisco Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.