Q: It’s my understanding that placement of the implant in natural cartilage is the real onus of any implant to help a patient augment a low bridge/support a tip through the dorsum. Which is better? Which can best refine a nose & provide columellar support without adding excess projection?
A: In terms of amount of tissue ingrowth, Medpor > Gore-Tex > Silastic. All of these synthetic implants have a higher rate of complications than using tissue from your own body. Only autologous grafts provide a permanent result.
