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All three materials you mentioned are permanent, non-resorbable implants. PEEK implants are extremely rigid. They have to be computer generated to fit the area precisely and are the most expensive. Medpor are the next most rigid. They are my least favorite because the porosity allows some degree of tissue ingrowth making them the most difficult to remove if they need to be replaced. Silastic implants are the least expensive, least rigid, easiest to remove or replace and therefore are my favorite. There are situations when a custom implant like PEEK may be desirable.
Two things I notice. Your columella (the part between the nostrils) is hanging too much. Very simple revision. Your nostrils flare. Also a simple revision. Taking care of those two issues alone would make a tremendous improvement. The ganging columelka is the most common issue I see after...
'lateral crural steal' (if that is in fact what was actually done) involves releasing the lateral crura of the lower lateral cartilages (often by releasing the accessory cartilages) and advancing the tip to increase projection..... if this has aesthetically changed your tip, fixing it will...
Much more information is needed, such as a full set of facial photographs, and a physical exam to determine the thickness of your skin. The swelling of the tip of your nose will also be dependent upon the thickness of the skin, and which surgical techniques are performed. Rhinoplasty involves...
