Every implant has pros and cons.
Answers are as follows,
1) contraction and deviation are relatively infrequent with goretex.
2) Removing goretex requires much skill. It makes no odds to us wether sheets or block.
3) Not always but sillicone tend to come out than goretex.
4) We consider volume decreases of goretex when we do surgery.
Of course self rib is the best material for rhinoplasty.
> Hi Dr. Jung,
> I have a few questions regarding increasing the nasal bridge using goretex.
> 1) Is silicone the only implant that’s known to cause contraction or deviation? Or can the same thing happen with gore-tex?
> 2) Is it very difficult to remove gore-tex in case there are complications? Is goretex sheets easier to remove than gore-tex block?
> 3) Is it true that all artificial implants (silicone or gore-tex) will eventually come out because they poke through the skin, thus, thinning the skin?
> 4) Is shrinkage of gore-tex is something to consider?
> Based on the articles I've read, it seems like rib cartilage rhinoplasty might be the best way to minimize problems down the road.
> Thank you!