Nasal implant (gore tex) extrusion, will it happen again with the revision? (photos)

Question

I do have a small nose. I wanted to enhance the bridge of my nose, lengthen the tip, and trim the alar. So i decided to do a rhinoplasty. The doctor put goretex from bridge to tip and trimmed my alar. During my check up, the doctor noticed a redness. Which was probably a sign of extrusion. My doctor decided to remove the implant and let my nose heal first. Im worried if he puts i back, there will be extrusion again. But he says he will put cartilage on the tip next time.

William Portuese, MD · Answer

In our practice, we do not recommend Gore-Tex implant to the nose due to the fact that it has a high propensity for infection and extrusion.  It is probably best to wait at least 1 year before undergoing a revision rhinoplasty with cartilage grafting to build up the bridge of her nose.  Cartilage grafting techniques have a much lower incidence of infection, and also best to be on antibiotics for a revision rhinoplasty.

David Reinstadler, MD · Answer

Once things heal and if your surgeon uses native cartilage, the risk of infection and extrusion is very low. I never recommend gore-tex for this reason. Best of luck

Robert E. Zaworski, MD (retired) · Answer

Using your own tissue is by far the better choice.  It is doubtful you will have problems with a cartilage graft if done correctly.  Best to you!

Nasal implant (gore tex) extrusion, will it happen again with the revision? (photos)

Answers (3)

More Revision Rhinoplasty Questions

Nasal implant (gore tex) extrusion, will it happen again with the revision? (photos)

Answers (3)

More Revision Rhinoplasty Questions

Is it possible to get my nose similar to the picture posted? (Photos)

Reattaching lip muscles to alar sill during revision rhinoplasty? (Photos)

How long does Kenalog shot take to make a noticeable difference?