Infected Gore-tex Nasal Implant

The infected implant should be removed and replaced with a rib cartilage graft at the same time.  Removal of the implant can be done closed but the rib graft requires open approach.

Typically, the nasal Goretex implant can be removed via an endonasal (closed) approach.  Your surgeon should have the skills to avoid injuring the overlying skin during the removal.  Overall, the removal is relatively straightforward but it depends on the level of scar that has developed around the implant and how big the implant pocket is.  All infection must be cleared prior to reconstructing your nose, and swelling must subside as well.  Six to twelve months is typically a good time to wait.  Being that you already had a bad response to an implant, then cartilage from your own body (rib) would likely be the best material to replace the implant.   Make sure you find a surgeon who is skilled and committed in revision rhinoplasty and rib grafting.  Ask to view many before and after photos.  I would be happy to provide you a comprehensive evaluation.  Good luck!

I read your concern. You should consult a reputable, certified rhinoplasty specialist regarding your situation as soon as possible. You can see a list of local certified specialists at abfprs.org.

You may be a candidate for oral antibiotics and local drainage if you have an abscess. If conservative treatment is not indicated, or if it doesn't help you, you should have your ePTFE implant removed. You would be best served by a rhinoplasty specialist that's removed Gore-Tex before. I've removed ePTFE using a closed rhinoplasty approach: through bilateral inter-carttilaginous incisions. I prefer an open approach for rhinoplasty surgery in general, but removing an implant may be performed transnasally. Removing Gore-Tex has been challenging in my personal experience. There is extensive tissue ingrowth, so it doesn't slip out like a silicone implant might.

All the best to you.

Regards from NJ.