One of the most popular cosmetic surgery procedures is rhinoplasty or nose surgery. This surgical procedure may involve nasal bridge augmentation or reduction where changes are made on the shape of the nose bridge; nasal tip augmentation reduction where changes are made on the shape of the tip or on the angle between nose and upper lip; and alar plasty which involves the reduction of the nasal base or narrows the span of the nostrils.
When the topic is about rhinoplasty, the usual question patients ask is what kind of implants can be used to achieve expected outcome. In the Philippines, there are two popular implants being used by cosmetic surgeons, they are Gore-tex implant or silicone implant. Your cosmetic surgeon will discuss the advantages and disadvantages of using either implants in full detail and the decision is left to the patient. Here are some information on the said implants.
For many years in the past, most cosmetic surgeons particularly in the Philippines use solid silicone implants in their rhinoplasty procedures. However, silicone implant is made of synthetic material and it has received considerable criticisms for its high rejection rate and for giving un-natural nose appearance after the surgery. The following are some of the side effects of silicone implants which are the same reasons why it is not preferred to be used nowadays:
- Silicone implant heals by encapsulation where the body’s natural reaction to a foreign body is to form a capsule around it. This encapsulation makes a loose attachment of the implant and any force exerted around the nasal area can mean malposition and deviation of the implant.
- Due to the force exerted by the hard silastic silicone implant on the nasal tip, it causes pressure necrosis and a pig nose look which is the implant’s upward movement.
- If the implant is not immediately removed, it may result into scar-like tissue on the nasal bridge making the appearance cosmetically unacceptable.
- Implant extrusion is a common problem in silicone implants. Silicone erodes the soft tissue of least resistance which is the incision line.
- An infected silicone implant could result in scarification and permanent deformity.
- Some residual tissues create crevice-like scars on the nasal tip and bridge
- Erosion of premaxilla or the palate bone may occur if the silicone implant is anchored deep into the septal spine.
- Calcium crystals collect and cause the nasal bridge irregularity and in some cases were found to be pre-carcinogenic even many years after the surgery. Silicone implants are recommended to be changed every 20 years.
Gore-tex is another implant material used in rhinoplasty. This implant has a high tissue compatibility and has a low complication rate which may involve swelling, infection and implant which is partially coming out. The following are the other advantages of Gore-tex implant:
- Gore-tex provides natural appearance due to tissue compatibility and porous material component which allows the tissue to grow inside and become part of the nasal structure. In other words, it integrates itself into the nasal structure as naturally as possible.
- Flexibility of the Gore-tex implant allows cosmetic surgeons to mold the implant into the desired shape, which silicone and other implant material cannot do.
- This biocompatible material is ideal for the initial surgery and revision plastic surgery.
- Gore-tex implant is ideal for patients who need to increase the size of their nose, particularly the nasal bridge.
Between silicone and Gore-tex implants, cosmetic surgeons prefer to use the Gore-tex implant for the primary reason that the implant gives a natural look on the nose done.