Revision Rhinoplasty, from Goretex to Silicone??

asked 10 months ago by Juicyme in New york, NY
Latest answer by Sam Naficy, MD
Question viewed 281 times
Tags: silicone implant, Gore-Tex

I had goretex and ear cartilage for my primary rhinoplasty almost a year ago. I plan to do a revision. Is it okay to do a revision with silicone? I've emailed many doctors and some say silicone is perfectly fine and some say I have to use rib. I honestly really DO NOT want to use rib. So I would like to know if silicone is okay to use from goretex for revision rhinoplasty. I know that all implants and materials will have risks, so please let me know your thoughts or if you have any advise.

5 answers to Revision Rhinoplasty, from Goretex to Silicone??

Goretex to Silicone

There is no problem in switching Goretex to Silicone except for the fact that you will still have a synthetic implant in your nose which may extrude or become infected at any point in your life.

Sam Naficy, MD
Seattle Facial Plastic Surgeon

seattleface.com

If you're unhappy with your GoreTex, you may want to have it removed, and evaluate your nose for revision at a later date.

I read your question: It's not clear why you're requesting revision rhinoplasty surgery. GoreTex and silicone implants both are used to raise the height of your bridge, and it's not clear why you want your GoreTex swapped for a silicone implant. After your GoreTex is removed, you may want to opt for a non-surgical rhinoplasty using injectable fillers to raise your bridge. In my practice, Silikon-1000, an off-label filler for permanent results, may be used after your... more

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

Silicone or goretex

Synthetic implants are not usually needed in primary rhinoplasty. You must have needed a lot of augmentation to require this. Many doctors recommend using your own cartilage only as it is less likely to become infected or extruded. if you don't want to use your own rib you can have banked irradiated cartilage as long as the area to be grafted does not need structural support. Silicone has nice shapes but often has a tendency to move after implantation which can be upsetting. Medpor... more

Michael L. Schwartz, MD
West Palm Beach Plastic Surgeon

www.palmbeachface.com

Gore Tex isn't just for shoes, Silicone is.

Great question! The use of non-human materials in the nose has been going on for centuries. Though its widely accepted that your own tissues are best and carry the least risk, there are downsides to using rib cartilage, for example. It leaves a relatively unsightly scar, is painful and the cartilage is rather stiff. Silicone There are a few different formulations of silicone, but my guess is that you're considering Silastic silicone, which is a nasal... more

Andrew Winkler, MD
Lone Tree Facial Plastic Surgeon

Silicone Implants

Hi, I have use silicone implants for the past 12 years with very good success. The key is to have a custom carved implant and not a preformed factory implant. Also make sure the surgeon is experienced with silicone implants to ensure proper placement to avoid infection and movement. The biggest challenge is placing the right size and shape of implant for your nose. If you don't have the right shape and size then there is a greater risk of movement or infection. Gortex can work well... more

Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon

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