Rhinoplasty: Q&A
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Pros and Cons of Gore-tex and Sillicone in Rhinoplasty?
I am trying to figure out which is between Gore-tex or Silicone is better for Rhinoplasty. I heard that Gore-tex can shrink 40% in size over time and silicone has a chance of popping out (seen pictures) and make the nose very pointy looking. I'm Asian and seeking a little height as well as smaller base. What do you advise?
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20 Doctor Answers |
Asked by
jk363
in toronto
+1
Gore-Tex (ePTFE) implants work well for implantation on the nasal bridge
Today, Gore-Tex does not supply grafting material for the nose. I have used Surgiform (also ePTFE), with good success, but it is stiffer to work with. I only use ePTFE to augment the bridge, and I think it works well with a complication rate of less than 5%.
Silicone elastomers (rubberized silicone implants) have a higher likelihood of eventual extrusion.
I wouldn't use either implant in the nasal tip.
You should discuss your options with a board-certified, experienced Rhinoplasty surgeon...
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+4
Improving the shape of your nose
Silicone and Gore-Tex can both pop-out after a rhinoplasty. Did you consider using your own cartilage or bone? These materials are from you own body and the chance that you'll have problems is less. The cartilage can be taken from the middle part of your nose or septum, your ears, and even part of your rib. All of these areas heal well, so talk to your plastic surgeon about these options. Good luck!
+3
No --better to use your own tissue.
No reason to use foreign material when you can use your own tissue. Both of these products can cause serious problems, so why take the chance.
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+3
Gore-Tex vs. silicone vs. autograft nasal implants
There is no question that the patient's own tissue is the safest, but even it can absorb. The main problem is the morbidity of the donor site.
Silicone has about a 10% incidence of extrusion, sometimes even without minor trauma.
I like Gore-Tex. I have had one extrusion and that came about because of trauma to a pre-exixting divot or scar in the patient's nose. When I have gone back in to place a larger implant, as I did once, I found the Gore-Tex implant solidly in place and infiltrated...
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Fort Myers Facial Plastic Surgeon
+3
Augmentation of the Nose with Gore-tex and Sillicone in Rhinoplasty
Hi Jk363,
The problem with all man made implants placed in the nose is that eventually the vast majority of such implants will have to come out because they poke through the skin (ie extrude), thin the overlying skin, become deformed by scar OR become warped and render the appearance artificial or worse.
Some implants are better tolerated under the nasal skin than other man made implants. Some implants are better tolerated under thicker nasal skins of some ethnic groups than under European...
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+2
Gortex implant not advised.
A small silicone implant is well-tolerated in the Asian nose as long as you do not attempt to overdo the implant. It is just not advisable to have Gortex in the nose; they can become infected and there have been multiple disasters associated with that implant in the nose.
+2
Gore-Tex and Silicone
You do not mention an excellent third choice - your own tissue. Silicone and similar materials are very popular in Asian augmentation rhinoplasty, but there are problems such as movement or extrusion. This can be avoided by using your on cartilage.
+2
Use your own tissues whenever possible
I would generally advise that you use your own ear, rib, or septal cartilage.
Any foreign material suchs as gortex or silicone has the possibility of extruding the implants through the skin.
+2
Both nasal implants have been used with success
Goretex implants for nasal augmentation / rhinoplasty are usually made out of sheets and are formed by the surgeon to fit the nasal characteristics of the patient. Goretex is made up of fibrillated polymer of polytetrafluoroethylene with pore sizes in the range of 22um which allow limited tissue in growth. It has been determined that pore sizes between 1 and 50 um (micrometers) will allow bacteria to get into the pores but not tissue ingrowth to fight off the bacteria. Hence pore sizes...
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+2
Silicone and Goretex in Rhinoplasty
Synthetic implants used for rhinoplasty always add some risk to the procedure. Over time the chance of infection or wearing through the skin is high. A better long term bet is to use a patient's own cartilage to augment the bridge or shape the tip. The infection and extrusion rate is then close to zero.
I have removed many nasal implants of all types. There always seems to be a new and popular implant coming up, but a few years later the story is the same for all of them. Nothing works...
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