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

Question

It's my understanding that placement of the implant in natural cartilage is the real onus of any implant to help a patient augment a low bridge/support a tip through the dorsum. Which is better? Which can best refine a nose & provide columellar support without adding excess projection?

John M. Hilinski, MD · Answer

There is much debate on this specific topic. You can get a wide variety of opinions based on who you consult with during your rhinoplasty consultation. I have attached a link below to one of my online rhinoplasty tutorial pages that specifically discusses the issue of grafts versus implants in Asian rhinoplasty patients. Good luck with your decision.

Philip Solomon, MD, FRCS · Answer

There are pros znd cons to each technique.   Autologous tissue can provide long term results without the risks of rejection or extrusion seem with nasal implants.  Often in Asian rhinoplasty there is not enough cartilage available in the nasal septum to significantly augment the bridge.   Therefore cartilage must be harvested from the rib or ear.  nasal implant material soecuficslky gortex is a good option for certain patients.   It has a high safety record when performed with appropriate techniques.  Medpore is another option but can be much more difficult to remove if there is a need for secondary surgery.

Alejandro Nogueira, MD · Answer

Never ever such alloplastic materials should be used in cases like yours or others, the consequences might be catastrophic.I recommend you find a good rhinoplasty surgeon, and not a "nose implantologist".

Afshin Parhiscar, MD · Answer

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.

Donald B. Yoo, MD, FACS · Answer

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.

Steven Wallach, MD · Answer

I think that autologous tissue like cartilage is the best or irradiated cartilage. I do not like synthetic implants in the nose.

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

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More Asian Rhinoplasty Questions

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Answers (6)

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