I have had two rhinoplasties done using silicone and goretex which both got infected.
Answer: Rib cartilage Great question! The reason to use rib cartilage is that the chances of infection are significantly lowered because rib cartilage is live living tissue that can fight bacteria. Silicone and gortex are manufactured products and have a higher rate of infection / extrusion. Since you've already tried these other non-biological implants, the only way to proceed would be using your own tissues to significantly decrease the chance of this occurring again.Best of luck and hope this information helps! - Dr. Roger Tsai @DrRogerTsai Board Certified Plastic Surgeon
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Answer: Rib cartilage Great question! The reason to use rib cartilage is that the chances of infection are significantly lowered because rib cartilage is live living tissue that can fight bacteria. Silicone and gortex are manufactured products and have a higher rate of infection / extrusion. Since you've already tried these other non-biological implants, the only way to proceed would be using your own tissues to significantly decrease the chance of this occurring again.Best of luck and hope this information helps! - Dr. Roger Tsai @DrRogerTsai Board Certified Plastic Surgeon
Helpful 4 people found this helpful
Answer: Prior synthetic nasal implants Given the fact that you had two prior rhinoplasties with synthetic implants that got infected, you should consider a tertiary rhinoplasty utilizing DC-F for dorsal augmentation. The benefits of utilizing your own tissue is that it is unlikely that the DC-F will get infected. If for some reason, your nose did get an infection in the future, antibiotics should be able to clear the infection as DC-F is not a foreign material.
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Answer: Prior synthetic nasal implants Given the fact that you had two prior rhinoplasties with synthetic implants that got infected, you should consider a tertiary rhinoplasty utilizing DC-F for dorsal augmentation. The benefits of utilizing your own tissue is that it is unlikely that the DC-F will get infected. If for some reason, your nose did get an infection in the future, antibiotics should be able to clear the infection as DC-F is not a foreign material.
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May 7, 2019
Answer: Prior nasal implant infections, the best material to use in such cases You will have thick scar tissue along the bridge due to the prior implants and infection. This will decrease the blood supply to whatever you put into your bridge the next time. Another synthetic implant will lead to the same prior problem. Your best option is to use your own tissue - rib cartilage is the only place where there will be enough material to use. Because the circulation to your bridge is already decreased, I would anticipate a larger rate of resorption of any grafted material. I personally prefer solid rib over diced cartilage and fascia (DCF) because of its precision and less swelling involved when a straight solid piece is used.
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May 7, 2019
Answer: Prior nasal implant infections, the best material to use in such cases You will have thick scar tissue along the bridge due to the prior implants and infection. This will decrease the blood supply to whatever you put into your bridge the next time. Another synthetic implant will lead to the same prior problem. Your best option is to use your own tissue - rib cartilage is the only place where there will be enough material to use. Because the circulation to your bridge is already decreased, I would anticipate a larger rate of resorption of any grafted material. I personally prefer solid rib over diced cartilage and fascia (DCF) because of its precision and less swelling involved when a straight solid piece is used.
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May 7, 2019
Answer: Implants for Asian Rhinoplasty Thanks for your question. Using your own cartilage is typically the best approach since it greatly reduces your risk for infection or other negative side effects. This is especially true if you have not had luck with synthetic implants in the past. I highly encourage you to find a board-certified plastic surgeon with extensive experience in Asian rhinoplasty, as this specialized procedure requires a high degree of expertise to create a naturally balanced look. I wish you all the best as you pursue your aesthetic goals.
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May 7, 2019
Answer: Implants for Asian Rhinoplasty Thanks for your question. Using your own cartilage is typically the best approach since it greatly reduces your risk for infection or other negative side effects. This is especially true if you have not had luck with synthetic implants in the past. I highly encourage you to find a board-certified plastic surgeon with extensive experience in Asian rhinoplasty, as this specialized procedure requires a high degree of expertise to create a naturally balanced look. I wish you all the best as you pursue your aesthetic goals.
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March 27, 2020
Answer: Use your own tissue Using tissue from your own body will create the most permanent results in the safest manner. The biggest risk with Gore-tex long-term is the risk of extrusion through the skin. Since Gore-tex is a synthetic material it will never become incorporated as a living part of the nose as your own cartilage will. A rhinoplasty specialist experienced in autologous grafts will be able to precisely and safely augment your nose using only tissue from your own body.
Helpful 1 person found this helpful
March 27, 2020
Answer: Use your own tissue Using tissue from your own body will create the most permanent results in the safest manner. The biggest risk with Gore-tex long-term is the risk of extrusion through the skin. Since Gore-tex is a synthetic material it will never become incorporated as a living part of the nose as your own cartilage will. A rhinoplasty specialist experienced in autologous grafts will be able to precisely and safely augment your nose using only tissue from your own body.
Helpful 1 person found this helpful
March 2, 2019
Answer: Two infected rhinoplasties- what now? Seek out a Board Certified Facial Plastic Surgeon with vast Augmentation Rhinoplasty experience. A careful physical examination with computer imaging will determine what volume you might need, and depending on how much is required - the gold standard would be using your own cartilage- either from your ear or a rib. The likelihood of getting an infection using your own cartilage is infinitely less than synthetic materials. Best wishes in achieving “third time lucky!”
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March 2, 2019
Answer: Two infected rhinoplasties- what now? Seek out a Board Certified Facial Plastic Surgeon with vast Augmentation Rhinoplasty experience. A careful physical examination with computer imaging will determine what volume you might need, and depending on how much is required - the gold standard would be using your own cartilage- either from your ear or a rib. The likelihood of getting an infection using your own cartilage is infinitely less than synthetic materials. Best wishes in achieving “third time lucky!”
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