How do Gore-Tex, Medpor and Silastic compare when properly used in Indian/Asian short nosed patients?

Dear AnonpatientAs you know the nasal bridge plays an important part in how a face is perceived. A flat and low bridge not only gives your nose an unusual appearance, it can even effect the appearance of the eyes and overall face more than one would expect. In general, using your own tissue will give you the most long lasting result with a low complication rate. This is most often your septal cartilage, your ear cartilage and sometimes even rib cartilage.some extra volume can be achieved by using fascia from your temporalis muscle. In some cases we may use calvarial (skull) bone. I have used al of the above with good consistent results.If you dont have adequate cartilage, a synthetic implant can be used. They each have their individual risks and advantages. One consistent issue that repeats itself in using an implant is that you have to be conservative and use a small size implant. In my experience the most common reason for implant failure is too large an implant. I would recommend you find an experienced and properly trained surgeon and get a consultation.

In terms of amount of tissue ingrowth, Medpor > Gore-Tex > Silastic.  All of these synthetic implants have a higher rate of complications than using tissue from your own body.  Only autologous grafts provide a permanent result.