Goretex retractions - would it be difficult to remove? (Photo)

Question

Hi, I have a 1mm Goretex implant in my dorsum which was inserted to fix a polypeak deformity, after first surgery, by the same surgeon. I’m wanting to get a revision to retract the implant and replace with rib cartilage. I’m just wondering would it be difficult to remove,since I had the surgery in 2015 (9 years ago)..? I never had any problems, no infections. I notice my tip is crooked and would like an overall revision to straighten it

Oakley Smith, MD, FRCSC · Answer

Hi, It is better for you to consult with your facial plastic surgeon who can examine you and give you opinion based on examination. If you are not happy with the result it can be removed and fixed otherwise no harm of keeping Gortex in.

Jeffrey H. Spiegel, MD · Answer

Yes it can be removed.  It's fairly easy to remove, but can be difficult.  Tissue may grow in and around the implant, though I've had a lot of experience removing these.

Eric M. Joseph, MD · Answer

GoreTex, or ePTFE, A material that has been used for dorsal nasal implantation and elevation for over 20 years. This product does promote tissue in growth, so removal of an implant like this is a bit tedious, compared to a silicone implant which simply slips out. Based on your photos, we can see a c-shaped nasal appearance, along with a hanging columella and a convexity along your bridge on profile. Please consider meeting with several reputable rhinoplasty specialists who are well versed in revision rhinoplasty surgery to optimize the likelihood of a favorable result. Wishing you well moving forward. Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. The gortex should definitely be completely removed.   Based on your photographs, you are a great candidate for a revision rhinoplasty. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip elevation, among other maneuvers.  With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Goretex retractions - would it be difficult to remove? (Photo)

Answers (4)

Answer: Gortex and revision rhinoplasty

Answer: Gortex and revision rhinoplasty

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Everything you need to know about Revision Rhinoplasty

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Goretex retractions - would it be difficult to remove? (Photo)

Answers (4)

Answer: Gortex and revision rhinoplasty

Answer: Gortex and revision rhinoplasty

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.