Gore-Tex Contracture Revision Rhinoplasty – 17-Year Implant-Induced Nasal Reconstruction

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[Nose Lab Clinic]

Hello, this is Dr. Cha-Young Kang, Director of Nose Lab Clinic.

Today, I’d like to share a challenging case of Gore-Tex Contracture Revision Rhinoplasty involving a 17-year-old nasal implant that caused contracture, severe nasal asymmetry, septal perforation, and chronic rhinitis. Through complex reconstructive surgery with autologous rib cartilage, we restored both function and aesthetics.

Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos

Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos

Surgical History – The Path to Gore-Tex Contracture Revision Rhinoplasty

17 years ago: Gore-Tex nasal implant (bridge + tip) + Alar Base Reduction
3–5 years ago: Septal perforation repair attempt + Non-implant revision

Initial Diagnosis & Key Issues

Persistent septal perforation

Nasal endoscopy view showing persistent septal perforation before reconstruction surgery — Nasal Endoscopy Image: Septal Perforation (+)

Severe septal cartilage loss
Nasal asymmetry due to contracture
Restricted nasal skin elasticity
Chronic rhinitis symptoms

Surgical Goals in Gore-Tex Contracture Revision Rhinoplasty

Close the septal perforation completely
Rebuild missing septal cartilage with autologous rib
Restore nasal symmetry & reduce contracture
Improve nasal airflow and relieve chronic rhinitis

Surgical Procedure

Key Intraoperative Findings

Septal perforation larger than anticipated
Severe depletion of septal cartilage
Extensive scar tissue & contracture
Thinned nasal mucosa from prolonged implant stress

Reconstruction Steps

Closed septal perforation using autologous mucosal graft
Rebuilt septal cartilage with rib cartilage graft
Removed scar tissue while preserving native structures
Corrected nostril asymmetry and refined alar base

Functional Enhancements

Treated chronic rhinitis with submucosal turbinate reduction
Reinforced nasal framework for long-term stability

Post-Surgery Outcomes

Right side view before (left) and immediately after (right) revision rhinoplasty with autologous rib cartilage — Before (Left) / Immediately After (Right)

Functional Improvements

Successful closure of septal perforation
Restored septal structure
Improved nasal airflow

Oblique view before (left) and immediately after (right) revision rhinoplasty with autologous rib cartilage — Before (Left) / Immediately After (Right)

Aesthetic Refinements

Corrected contracture-related deformities
Achieved natural nasal contour
Balanced nostril symmetry

Frontal view before (left) and immediately after (right) revision rhinoplasty with autologous rib cartilage — Before (Left) / Immediately After (Right)

Overall Transformations

Restored nasal structural integrity
Simultaneously achieved functional & cosmetic enhancements
Long-lasting, natural results

Nostril view before (left) and immediately after (right) revision rhinoplasty with autologous rib cartilage — Before (Left) / Immediately After (Right)

Expert Insights on Gore-Tex Contracture Revision Rhinoplasty

This case highlights the complexities of long-term Gore-Tex implant complications.

Key Takeaways:

Gore-Tex implants can cause severe tissue contraction and cartilage absorption over time
Septal perforation repair requires precise grafting techniques
Autologous rib cartilage ensures lasting functional and aesthetic results