L Shaped Silicone Vs Gore-tex? I'm at a Dilemma.

       There is not a right answer with regard to the placement of a silicone implant or diced cartilage.  Each has its own problems, and I let patients make the decision.  Find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties and rhinoplasty revisions each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.
Kenneth Hughes, MD Los Angeles, CA

A couple of months ago I removed an L-shaped silicone nasal implant that the patient had placed in Manila about 10 years ago. She had a filler injected more recently and that infected her implant which had to be removed because it was causing the nasal skin to peel. It would have extruded through the nose if left in place.
I think that says it all.

I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship in order to know if this assessment is valid.

I think that rib graft either your own or irradiated may be better than the synthetic implants. Good luck.