I need to know what kind of implants that is good for the augmentation of the nose? Gortex or silicone elastomer silastic? Is it true that this 2 implants cause cancer? What brand of nose silicone do you recommend?
Gortex Vs Silicone Elastomer Silastic Nose Implants?
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You could consider a Non-Surgical Rhinoplasty to add height to the bridge of your nose.
Rhinoplasty Surgery is a reliable method of augmenting your nasal bridge. Some surgeons recommend using cartilage grafts (septum, ear, or rib). There has been excellent published results with irradiated cadaver rib-cartilage.
I was trained to augment the nasal bridge during Rhinoplasty Surgery with GoreTex (ePTFE). It's easy to work with, and complications like extrusion occur less than 5%. Gore no longer makes this product, but Surgiform makes ePTFE implants for the nasal bridge. The Surgiform product is a bit more rigid than GoreTex.
I have no personal experience with silicone elastomers in the nose. There is possibly a higher extrusion rate than GoreTex. I don't think either GoreTex or silicone elastomer should be placed in the nasal tip.
If you only need your bridge height increased, you could consider a Non-Surgical Rhinoplasty procedure with Injectable Fillers. My personal preference is Silikon-1000 for permanent results.
I hope you find this helpful.
Silicone implant preferred
Silicone by far is the best synthetic augmentation material for use in the nose and is tolerated quite well. The important aspect of the implant is its size. Very large implants do not do well since they put too much pressure on the skin, which can then undergo necrosis, breakdown and become infected. A small-to-medium sized implant will be well tolerated in the nose for many, many years.
Gore-Tex typically gets seeded with bacteria or gets infected inside wall pores and is a disaster to remove out of the nose. These two implants do not cause cancer in the nose.
The brand of silastic implant that we use is made Implantech and we use the Flowers small and medium nasal dorsal implants.
Web reference: http://www.seattlefacial.com
Gortex Better Than Silicon for Nose
Gortex is better integrated with tissues and less likely to be extruded from the nose as opposed to the Silicon.
The best option is to use your own nasal septal cartilage, ear cartilage and rib cartilage. If none of these options are available or possible then Gortex can be used.
Web reference: http://www.janjuafacialsurgery.com
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Nasal Implant Material
As Dr. Mayer aptly put it, the best nasal implant is your own tissue; most Surgeons would agree that Septal cartilage is the building block of choice. However, ear (conchal) cartilage works well in the right circumstance. If multiple revision situations where neither septal or conchal cartilage is available, rib cartilage is a great option. However, harvesting of rib cartilage carries with it more substantial donor site morbidity. Gortex and Silicone implants carry with them the possibility of problems many years down the road.
Implants to the nose
I have never been a big fan of placing any implants into the nose unless absolutely necessary. There are real risks of infection and extrusion of either Gortex or Silicone. What there is not however, is the risk of cancer. I would absolutely see an experienced rhinoplasty surgeon and they will be happy to suggest several ways of using your own tissue in order to augment your nose.
Neither cause cancer. I would recommend that an "allograft" like you are talking about is a last resort. You would alway be better with your own material (septal cartilage, rib, or ear).
Best nasal implant is not silicone or gortex, but your own tissue.
In more than 30 years of primary and revision rhinoplasty, I have always been able to get all the tissue I need from the patients own body. Thus I don't worry about infection or extrusion later. This tissue is incorporated into your body and lasts forever.
The best nose implant is your own tissue
There are many implant materials which are helpful in rhinoplasty such as Gortex, solid silicone, and polyethelene. All can provide structure and shape to the nose. They all to a certain extent have some drawbacks in that over time the skin can thin, and the implants can become infected or extrude, even after many years. If surgeons were to have a 'best' implant I feel that natural tissue such as cartilage from the septum in the nose, ear, or rib would win the favor. The natural tissue will not suffer the later infection or extrusion risk that the synthetic implants will, and you will have a nose that is truly your own.
Best of luck.
Web reference: http://www.peterejohnsonmd.com/rhinoplasty
The BEST Nasal Implants are...
The BEST nasal implants come from YOUR body. Depending on the source they will be incorporated by your blood vessels and become part of your nose.
All other implants are a compromise and a gamble on how long it would take the body to either push them out (extrusion) or for them to become infected. Softer implants like Gore-Tex take longer to be extruded than stiffer ones like silastic / silicone implants. While it is true that Type V and VI skin (Asian, African etc) have thicker skin that tolerates man made implants longer, eventually all such implants will come out.
Silicone and Gortex nasal implants
I agree with Dr. Jackson in stating that I am not aware of any study that has shown any correlation with alloplastic nasal implants and cancer.
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.
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