Deviated Goretex Implant. Will this be straightened over time? (Photo)

It is obvious that your implant is deviated. It may be caused by wrong inertion or because your original nose is not straight. Your skin seems slightly thin and too much augmentation at the radix play some role in such phenomeno. Revision surgery using rib is recommended. Lowering the radix slightly and making the transitioin from sidewalls to nose smooth and natural are required. Thanks.

Hello,
Thank you for providing these photos. It looks like your surgeon did a nice job with this difficult revision. I would not expect it to straighten much more. I personally prefer to avoid implants altogether and there are now at least 3 good options to augment the dorsum using your own tissue. I recommend scarless/closed rhinoplasty for all rhinoplasty regardless of whether primary or revision rhinoplasty.
Mark G. Albert, M.D., F.A.C.S.New York, NY

Based on your current photo, you appear to have a more pleasing nasal appearance than you did after your first surgery. Since you look better and since the implant is no longer mobile, I suspect that you will have a happy ending. When all of your swelling has resolved, provided that your implant is stationary and that there is not a significant indentation, sometimes microdroplet Silikon-1000 injections may be considered for achieving a straighter nasal appearance. I hope this is helpful! Sincerely, Dr Joseph

Hello! Thank you for your question.All doctor have different methods of course. In your case, instead of an implant I would have used cartilage reconstruction (from ear and/or rib) for the augmentation. In the last photo you provided it doesn't look like you have a strong deviation, anyway if that still disturbs you you can go back to your surgeon for a check-up.
Best regards!Prof. Dr. Selcuk Inanli

In general, after a rhinoplasty procedure involving the placement of an implant, it is possible for the implant to shift or deviate from its desired position. The amount of deviation can vary depending on several factors, including the surgical technique, the type of implant used, and individual healing characteristics.

It's not uncommon for some degree of asymmetry or tilting to be present immediately after surgery. However, it's also possible that the implant may continue to shift or deviate slightly during the healing process. In some cases, this can be due to factors such as swelling, scar tissue formation, or inadequate fixation of the implant.

While minor shifts or deviations may resolve on their own as the healing progresses, it's essential to communicate your concerns to your surgeon. They can evaluate your situation and determine whether the current position of the implant is acceptable or if further corrective measures are necessary.

Your surgeon may recommend additional interventions, such as revision surgery or non-surgical adjustments, to improve the alignment and position of the implant. They are in the best position to assess your individual case and provide guidance based on their expertise and knowledge of your specific procedure.

Best of luck !