Gore-tex rhinoplasty recovery issues (Photo)

Question

Hi! I had a Gore-tex Rhinoplasty less than a month ago. About 3 weeks in total and I’ve noticed that it’s healing but it’s deviated. Is it still gonna change or should I consider revision? :( I am so frustrated. I wasn’t hit by anything and not doing ang extreme sports.

Donald B. Yoo, MD, FACS · Answer

Tissue from your own body (autologous grafts) will give you a safer, more permanent result than synthetic implants. While en bloc cartilage grafts, especially from the rib, can warp over time, there are ways to eliminate this problem.  Especially for dorsal augmentation (building up the bridge) using cartilage that is finely diced and wrapped in fascia taken from your scalp can be made into a custom size and shape for your particular nose (DCF). By dicing the cartilage the problem of warping is eliminated, and since it is tissue from your own body, it quickly becomes incorporated into your nose within 2-3 weeks. Results are certainly surgeon dependent, so it's important to do your research in finding a rhinoplasty specialist.

Tim Sayed, MD, MBA, FACS · Answer

Thanks for the question and photos.Most board-certified plastic and ENT facial plastic surgeons have moved away from Gore-Tex and other prosthetic augmentation techniques on the nose. Diced cartilage/fascia grafts, using your own tissues, generally provide more long-lasting and safer augmentation. The body has an ability to better remodel this tissue into living cartilage which incorporates with your native nose tissues, rather than trying to heal an implant in place. You should discuss your concerns with your surgeon as it is unlikely that deviation present at this time from a prosthesis would change; the photos may be misleading, though, as only the frontal view seems to show much information about some asymmetric healing.

Arian Mowlavi, MD, FACS (license on probation) · Answer

The gold standard in dorsal augmentation rhinoplasty is not Gore Tex; I have been removing the Gore Tex and Silicone dorsal implants for years and replacing them with a stable, smooth diced rib cartilage graft. This is the Gold Standard today. The implant that your were provided is not only crooked but also too large giving you a hump look which is not desirable. Even when placed correctly, longterm complication is that it inevitably fails and requires removal.

Richard W. Fleming, MD (retired) · Answer

Relatively few surgeons use Gortex in rhinoplasty surgery. I suggest you contact your surgeon re this problem which has occurred shortly after the operation.

Michael Elam, MD (retired) · Answer

Dear sansnom, Most surgeons do not use Gore-Tex for rhinoplasty any longer and prefer to use other materials like cartilage for grafting. At this point you need to speak with your surgeon and discuss your concerns. Best regards, Michael V. Elam, M.D.

Gore-tex rhinoplasty recovery issues (Photo)

Answers (5)

Answer: Deviation Following Gortex Implant Rhinoplasty

Answer: Deviation Following Gortex Implant Rhinoplasty

Answer: Concerns with Gore-Tex Rhinoplasty Results

Answer: Concerns with Gore-Tex Rhinoplasty Results

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Everything you need to know about Rhinoplasty

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Gore-tex rhinoplasty recovery issues (Photo)

Answers (5)

Answer: Deviation Following Gortex Implant Rhinoplasty

Answer: Deviation Following Gortex Implant Rhinoplasty

Answer: Concerns with Gore-Tex Rhinoplasty Results

Answer: Concerns with Gore-Tex Rhinoplasty Results

Browse related questions

Recommended reading

Everything you need to know about Rhinoplasty

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