Implants in Rhinoplasty are not something that has come as new. They are very reliable way to strengthen and augment the nasal bridge and nasal tip for permanent and effective results. Various implants that are used in Rhinoplasty include ones made from silicone, porous polyethylene implants, sil-tex implants and implants harvested from patient’s body.

One of the common materials that are used to enhance the shape of the nose is GoreTex Implants. Gore-Tex implants made of a material called expanded polytetrafluorethylene (e-PTFE). This material is also used extensively in ski and camping outfits therefore you know it is a strong and reliable material. Aside from Rhinoplasty the material used for making GoreTex implants is also used in other plastic surgery procedures such as filling in facial lines and wrinkles and pump up the lips and chin and cheek augmentation.

Somewhat like the PE implants GoreTex implants are also highly porous. GoreTex pores size is from about 0.5 to 3.0 micrometre. The nodules of ePTFE are interconnected with one another. The advantage of the pours material is that it allows the peri-implant tissues to grow after the implant which helps it anchor firmly and therefore giving it higher stability. Once implanted in the human body the tissue growth starts within two months of the rhinoplasty and this integration continues over the time. With the use of GorTex implants there can be up to a twenty percent changing in the nasal dorsal height.

The tissue in growth that happens gives the implants a better chance of sticking to the tissue and last over the years and there is no movement. GoreTex implants are preferred because they are easy to contour and fit in the nose therefore the nose gets more natural and subtle look without looking too made up. Also the nature of the implants is such that it can withstand extreme head and cold which is quite advantageous when used in Rhinoplasty.

Are you a candidate for GoreTex implants?

  • GoreTex implants are suitable for people with slender noses and have had previous Rhinoplasty
  • GoreTex implants are highly successful in cases where the calcification caused by silicone implants is causing problems
  • Patients who have shown rejection to silicone implants
  • Hematoma caused by silicone implants indicates a surgery required GoreTex as an implant in Rhinoplasty
  • For patients with weak periosteum it because difficult for silicone implants to adhere but GorTex is a porous implant and therefore mobility is not an issue with these as there is better adhesion to the nasal bone and tissues.

Advantages of GoreTex Implants in Rhinoplasty

There are many clear advantages of GoreTex Implants and these include

  • Resistance to infection
  • Less immobilization of the implant
  • Integrated vascularity
  • No capsule formation
  • Decrease rate of calcification

Disadvantages of GoreTex implants

  • The height and shape of the implants are susceptible to change and therefore the nasal height can change.
  • Because of the in growth of tissues removal of GoreTex (if ever required) becomes very difficult.
  • Since the implants are more close to the skin because of the lack of capsular formation, it is sometimes visible through the edges under the skin.

Therefore it is very important that you select a surgeon who has got experience, expertise, education and training to perform successful nose job (Rhinoplasty) using GoreTex implants.

Silicone and GorTex (SilTex) implants in Rhinoplasty

A combination of silicon and GorTex implants are used in Rhinoplasty to bring out the best in both implants. In these implants a thin GorTex implant is wrapped over the silicone implant. This ensures that there are no changes in the height after the procedure.  However removal of this type of implant is also difficult as the GorTex adheres itself to the tissues.

The use of GorTex implants or SilTex Implants will depend on the patient’s expectations and the surgeon’s realization of the expectations. In these implants, healing times are moderate and the patient can resume normal activities soon after the healing.


About Dr. Debraj Shome

Dr. Debraj Shome- Facial Plastic Surgeon in Mumbai, India

Dr. Debraj Shome – Founder, The Esthetic Clinics, is a top facial plastic surgeon. Dr. Shome is currently a Consultant at the best Mumbai hospitals like Saifee Hospital, Breach Candy Hospital, Nanavati Hospital & Apollo Spectra Hospital in Mumbai, India. He has 40+ research papers in the best international journals, numerous presentations at conferences & many awards such as “Best Plastic Surgeon in Mumbai”, “Best Plastic Surgeon in India”, Best Cosmetic Surgeon in India”, “Best Cosmetic Surgeon in Mumbai”, “Breakthrough Innovator in Facial Plastic Surgery” etc. A celebrity plastic surgeon, Dr. Shome believes plastic, reconstructive & cosmetic face surgery can allow you to lead a more fulfilled life….Read more

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