Some surgeons say Gorotex is also safe and hasn’t had bad reactions plus it heals faster ..., some also claims it can last life time - ??? Need advice What do you think about local anesthesia versus general anesthesia for this procedure?
Answer: Gortex in the Nose While you may be able to find individual stories of patients who have been safely and effectively treated with Gortex, the complication rate is unacceptably high. An infected implant is a disaster! If infected, it needs to be emergently removed and your nose packed open. The scar tissue that develops afterwards is extremely difficult to deal with and your nose will never look right in the end. The one physician favoring this approach in your question string quoted a 5% chance of infection (I believe that number to be closer to 20% depending on the study used). But, would you accept a 5% chance that you're rhinoplasty will end in disaster? I agree that there are pluses and minuses to every material available in rhinoplasty. But, the minuses to using foreign material in the nose are so negative that I can not ever recommend it. Explore options using your own material. You have enough spare parts to do the job.
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Answer: Gortex in the Nose While you may be able to find individual stories of patients who have been safely and effectively treated with Gortex, the complication rate is unacceptably high. An infected implant is a disaster! If infected, it needs to be emergently removed and your nose packed open. The scar tissue that develops afterwards is extremely difficult to deal with and your nose will never look right in the end. The one physician favoring this approach in your question string quoted a 5% chance of infection (I believe that number to be closer to 20% depending on the study used). But, would you accept a 5% chance that you're rhinoplasty will end in disaster? I agree that there are pluses and minuses to every material available in rhinoplasty. But, the minuses to using foreign material in the nose are so negative that I can not ever recommend it. Explore options using your own material. You have enough spare parts to do the job.
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February 16, 2018
Answer: Rhinoplasty
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February 16, 2018
Answer: Rhinoplasty
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February 16, 2018
Answer: EPTFE (GoreTex) may be considered for bridge raising during rhinoplasty. There are innumerable methods of performing rhinoplasty surgery and raising a nasal bridge. My rhinoplasty teacher taught us to use ePTFE (GoreTex). There may be a 5% chance of infection over a lifetime, however, it's easily custom-carved and leads to natural looking bridge elevation in most. Cartilage may warp or become visible through your nasal skin, depending on your examination. Nearly all of our rhinoplasty patients require general anesthetic to protect their lower airways. Hope this helps! Dr Joseph
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February 16, 2018
Answer: EPTFE (GoreTex) may be considered for bridge raising during rhinoplasty. There are innumerable methods of performing rhinoplasty surgery and raising a nasal bridge. My rhinoplasty teacher taught us to use ePTFE (GoreTex). There may be a 5% chance of infection over a lifetime, however, it's easily custom-carved and leads to natural looking bridge elevation in most. Cartilage may warp or become visible through your nasal skin, depending on your examination. Nearly all of our rhinoplasty patients require general anesthetic to protect their lower airways. Hope this helps! Dr Joseph
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February 16, 2018
Answer: Implants are a bad idea in rhinoplasty Thank you for your question! This is an important question that has a clear answer. I, and nearly all of my experienced rhinoplasty surgeon friends and colleagues across the country (who perform a lot of revision rhinoplasty procedures), would strongly advise against using any sort of foreign body implant in rhinoplasty. Using your body’s own tissue, such as septal cartilage, ear cartilage, or rib cartilage, is much, much better and safer. Seek out an experienced rhinoplasty surgeon who can help guide you through these decisions.Please let us know if you have any other questions or concerns!
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February 16, 2018
Answer: Implants are a bad idea in rhinoplasty Thank you for your question! This is an important question that has a clear answer. I, and nearly all of my experienced rhinoplasty surgeon friends and colleagues across the country (who perform a lot of revision rhinoplasty procedures), would strongly advise against using any sort of foreign body implant in rhinoplasty. Using your body’s own tissue, such as septal cartilage, ear cartilage, or rib cartilage, is much, much better and safer. Seek out an experienced rhinoplasty surgeon who can help guide you through these decisions.Please let us know if you have any other questions or concerns!
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February 17, 2018
Answer: Own cartilage or Gore-Tex for rhinoplasty? In our practice, we do not recommend Gore-Tex placed in the nose for a variety of issues that we have seen in our practice over the last 25 years. Always best to use patient's own cartilage when needed for grafting purposes. In our practice, we also place all patients under general anesthesia by a board-certified physician anesthesiologist for patient safety and comfort.
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February 17, 2018
Answer: Own cartilage or Gore-Tex for rhinoplasty? In our practice, we do not recommend Gore-Tex placed in the nose for a variety of issues that we have seen in our practice over the last 25 years. Always best to use patient's own cartilage when needed for grafting purposes. In our practice, we also place all patients under general anesthesia by a board-certified physician anesthesiologist for patient safety and comfort.
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