Gortex Vs Silicone Elastomer Silastic Nose Implants?

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?

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14 Doctor Answers | Asked by scaryone in ca

Doctor Answers (14)
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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... more

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... more

Eric M. Joseph, MD

199 reviews

West Orange Facial Plastic Surgeon

www.ericmjoseph.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. Regards

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... more

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.

Nose implants

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.

Toby Mayer, MD

7 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

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... more

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... more