Gore-tex augmentation grafting in rhinoplasty--is it safe?

OBJECTIVE: The utility of the Gore-tex soft-tissue patch in vascular and hernia surgery over the last 20 years led to its application in facial augmentation and rhinoplasty over the last decade. The early success of initial reported series must be balanced against the long-term problems that have faced all implant materials used in the nose in the past. Gore-tex is attractive to the facial plastic surgeon because of its ease in handling and sculpting, and its plentiful supply. This review analyzes the results of Gore-tex augmentation grafting.

METHODS AND RESULTS: In a personal series of 30 rhinoplasty cases with minimum 18 month follow-up, there were three cases of infection, two of which required Gore-tex removal, and one seroma requiring Gore-tax removal. In two other patients, the Gore-tex was associated with excessive scar tissue.

CONCLUSION: Our results led to the development of guidelines for Gore-tex usage in the nose. Since adopting these guidelines, the authors have not yet experienced any complications with Gore-tex.