Should I remove my goretex implant? (photo)

I got a septo/rhinoplasty done in 2010. I am bothered about the "dent" that is visible due to the implant. I spoke with my surgeon today and he gave me 2 options. Take the implant out and replace it with a L-silicone implant or fully take out the 4 mm of goretex. I am leaning towards taking out my implant. I'm just worried that my nose would look strange if I took out the implant. I don't mind if my bridge is lower if it means that I won't have that dent anymore.Should I seek a second opinion?

Doctor Answers 4

Nasal dorsal implant

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If you remove the implant which leads to contraction of the soft tissues making it very difficult to augment it again at a later stage.  It is best to use your own cartilage to augment the area. A rib graft or a DCF can work well.


Dr. J

Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 126 reviews

Replacing Implant

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All synthetic implants carry a risk of infection, extrusion, or worse. This is especially true in secondary, or revision rhinoplasty patients. The Gore-Tex won't be so hard to remove, but a 4 mm. difference in height will be easily noticed. I would recommend using your own cartilage to replace the old implant. Cartilage can be obtained from your septum or the bowl of one ear, cut into small pieces, and then wrapped in fascia (also your own tissue) to make a smooth and natural bridge for your nose. This greatly reduces the risk of infection or having the implant come out later.

Ira D. Papel, MD
Baltimore Facial Plastic Surgeon
4.9 out of 5 stars 36 reviews

Removing Goretex nasal implant

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In most cases, removal of Gore-Tex implants isn't particularly difficult, even with the modest tissue ingrowth that occurs. When replacing it with cartilage and fascia grafts, it's usually best to do this at the time of removal of the implant rather than at yet another operation. Adequate cartilage may be available from the septum but it can also be obtained from the ear or the rib. I believe that most of us surgeons prefer to use a patient's own tissue rather than a synthetic implant such as Silastic. As for seeking a second opinion, I think that's always wise, especially given the revision nature of your nose.

All the best,


Pearson Facial Plastic Surgery®

David C. Pearson, MD
Jacksonville Facial Plastic Surgeon

Gortex Implant

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Since gortex implants have tissue ingrowth similar to medpor, removing the implant may also remove normal tissue further distorting the bridge. Although its possible, Id recommend a custom silione impant rather than a L shaped implant. L shaped implants can look distorted as well and may extrude through the tip.



Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 285 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.