How common are problems with implants used during nose jobs and how often does shifting of the implant or extrusion occur?
I am not a big fan of using implants. Many years ago, if I had to use an implant to augment the nasal dorsum, I would use Gore-Tex as the infection and extrusion rate with Gore-Tex is extremely very low. I would estimate there is about a 1% chance of having an infection or an extrusion.
If a patient needed nasal dorsal augmentation and did not want their own tissue used, I would use Gore-Tex. I would inform them about the risks associated with the surgical procedure as well as with the implant.
There are also different types of implants such as silicone and Medpor with which I have seen extrusion, especially of the nasal tip and side of the nose. I have never used a silicone implant or Medpor implant based on these reasons. As a revision rhinoplasty specialist, I see many patients with these problems or just even a deviated or mobile implant.
I will remove the implant and replace it with the patient’s own natural tissue. The primary material used to augment the nasal dorsum is diced cartilaginous tissue. I just had a patient whom I operated on approximately three weeks ago. The patient was an Asian female with an L-shaped silicone implant which augmented the nasal dorsum and also extended all the way down into the tip. The dissection over the mid part of the tip was extremely tedious because there was an extreme amount of tension on the skin at the region where the implant was placed. I felt that the implant was about to extrude and that is why the dissection in the area was very, very difficult to perform.
Hope this helps and thank you very much for the question.