Do you think this could be Gore-Tex infection or an allergic reaction? (Photo)

Question

I had gore-tex implanted on the bridge of my nose about a month ago. My skin is been peeling and itchy. My bridge is red as you can see. I don’t feel any pain or tenderness on the area. Is it just sensitive new skin or is it an infection?

Paul E. Goco, MD · Answer

Thanks for your question and photos. Yes it could represent an infections, should not be an allergic reaction to the implant. Please see your surgeon as soon as possible. Have them evaluate it in person. It could represent a delayed reaction from taping or a cast.  Best!

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. If you are early in your recovery process, then this seems to be a natural and expected healing. I suggest that you review your progress with your board certified facial plastic surgeon and medical team. It is important that they are aware of your progress, and are available to help.
Best wishes,

Raghu Athre, MD · Answer

PLEASE SEE YOUR SURGEON!  Allergic reactions are very rare, and this should not be examined nly via photos on RS.

William Marshall Guy, MD · Answer

Hello Alecks,Once of the risks of using Gore-Tex in the nose is infection.  The risk is much higher on revision surgery or in cases where there is a previous septal perforation.  As you are only a month out from your surgery it is possible you are having a reaction or it is infected.  The best person to determine this is going to be your surgeon with an in person examination.  I would recommend you follow up with your surgeon for an in person evaluation.I hope this helps and good luck.

Ravi Dahiya, MD · Answer

As others have noted it is too hard to tell just with a photograph. Being one month it could be just normal healing or the signs of a delayed infection. Knowing the overall trend over the past month (swelling/redness) and examining your nose in person would allow for a better diagnosis for sure. Follow up closely with your surgeon.

Julian Rowe-Jones, MBBS, FRCS (Eng), FRCS (ORL) · Answer

The photograph only shows minimal redness and I think it is unlikely you have an infection.  This redness can be seen a month after surgery in cases without artificial grafts too.  If it is not tender, you do not have a raised temperature and you do not have nasal discharge you are probably fine.  Obviously you should be seeing your surgeon now for examination and monitoring.

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