Gap Between Nasal Bone and Implant on Bridge of Nose, Will I Need a Revision?

Hello. I am about a month post-op and have a gap between where my gortex implant ends and where my nasal bone starts (on the bridge of my nose) creating a dent that is both palpable and visually seen. Will this gap seal over time or will a revision/fillers be needed? Thank you.

Doctor Answers 5

Contour problem after gortex placed for rhinoplasty

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The dent is unlikely to improve over time.  Consider a revision, and find a surgeon with a lot of experience performing revision rhinoplasty.  Removal of the gortex and replacement with cartilage should do the trick.

You may be a candidate for an Injectable Filler procedure to fill the gap above your GoreTex nasal implant.

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I read your concern, and it's tough to advise you without a photo at this early stage following your rhinoplasty surgery. A visible gap above your GoreTex nasal implant may be improved by an Injectable Filler procedure. My personal preference is to use Silikon-1000, an off-label filler for permanent results. In my view, you should reserve revision rhinoplasty as a last resort.

Dr. Joseph

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 435 reviews

Gap Between Nasal Bone and Implant on Bridge of Nose, Will I Need a Revision?

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Gap Between Nasal Bone and Implant on Bridge of Nose, Will I Need a Revision?  Photos of the nose and gap would help in the evaluation.  I have operformed Rhinoplasty for over 20 years and while I initially used Goretex grafts in the nose during Rhinoplasty in the early 1990's, I discontinued the use because Goretex has a tendency to get infected yrears later for noa pparent reason.  You may want to have the Gortex nasal implant removed for a straight, silastic implant to the nasal bridge.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Gap In the Naso-Frontal angle

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What your seeing a gap in the nasal - frontal angle. This can happen with gortex implants. You can try to fill the space with fillers but for long lasting results you may need a revision.


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


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It would be best to see you or good pictures. But, from what you say i agree that a revision is probably needed. Consider Radiesse as a filler quick fix if you surgeon agrees

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon

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