During an Asian rhinoplasty, many patients request the addition of height to the bridge of the nose. This can improve the look of a flat or wide nose and also augment the profile from a side view. There are a number of ways to add tissues to the nose, one of which is to use a Gore-Tex implant, also known as the material polytetrafluoroethylene (PTFE).
Gore-Tex is comprised of a porous material that is intended to promote the intertwining growth of tissues, which will secure the implant in place and lessen the risk of rejection. Unfortunately, the material of the implant can also trap tissues and promote the growth of bacteria. Infection can occur in the nose which will require a secondary rhinoplasty to correct.
The solid, flexible alloplastic sheet does not readily support the structure of the nose, which may be an issue in Asian rhinoplasty if the surgeon opts to slim the sides of the nose. This step eliminates some original architectural tissue, which may require extra support.
Another issue associated with Gore-Tex implants is that an implant can shift into a permanent, unnatural position. This occurs when the material is not properly fixed to the other tissues of the nose, or if the material moves over time with facial expressions or from an injury. Some doctors feel a more natural-looking implant should only be placed on the bridge of the nose, rather than as an L-shaped implant that also covers the tip of the nose. The concern with a longer implant that also shapes the tip of the nose is protrusion of the Gore-Tex that can stretch the skin and cause discomfort, as well as the wearing away of other tissues.
With any procedure or surgery in which foreign material or substances are added to the body, there is some risk of rejection. Gore-Tex is designed to sit harmoniously with other tissues of the nose, but patients may react differently to the polytetrafluoroethylene. If rejection occurs, the implant must be removed and an Asian rhinoplasty patient may face a secondary rhinoplasty or even reconstruction of the nose.
Facial plastic surgeons will have varying philosophies on the Gore-Tex implant, which is predominantly utilized in Asian countries, for the purpose of modifying Asian patients’ noses during rhinoplasty. Dr. Nassif prefers to use the DCF (diced cartilage and fascia) technique for a number of reasons. In his surgical experiences, this method produces a more natural outcome that does not shift or become repositioned over time. Because a patient’s own tissues are removed from one area of the body and used inside the nose, there is little chance for infection and the body will recognize the tissues as its own, eliminating the risk of rejection.
Dr. Paul Nassif is internationally recognized as a top facial plastic surgeon. In addition to other specialty surgeries, the doctor is also known as the Asian Rhinoplasty Specialist because of his knowledge of the surgery. Women and men from the states and beyond seek his surgical skills that can best be described as a perfect harmony of art and science. Contact the doctor today at his Beverly Hills, California practice at (310) 275-2467.