Rhinoplasty Material Cons In Recent Years

[yoochanghyun]

Hey guys! 

I've read a lot of comments and done my own research over the months regarding the material used in rhino and a lot of the negative opinions here sometimes reference old techniques (like old diced cartilage techniques or hard silicone or even older grades of soft silicone) and it doesn't reflect the upgrade in technology now so I'm really curious to find out everyone's opinions about these three materials in more recent years: rib, soft silicone and diced cartiliage in fascia.

These are the cons of each material I've found:

Rib
- risk of warping (but there are anti-warp carving techniques?)
- risk of edges showing
- can calcify/harden
- partial resorption possible (but rare)

Soft silicone
- has a chance of infection/rejection (heard silicone has improved tho and it's far less common?)
- risk of extrusion 

Diced cartilage (DCF, enveloped in fascia)
- mild resorption over the years (but small in volume?)

I'm really curious how accurate/common are these actually? I would love to know your thoughts!!

[berrygirl21]

It seems like a lot of the risk comes down to the patient's genetics and the doctor that is working on them. The cons seem to be very minimal with the right doctor. Septal cartilage seems to be the "safest" overall but it can't be used with all surgeries. Ones that require more work, it would not be enough.

In terms of synthetics, I would avoid gore-tex and PCL mesh (especially PCL, it is not considered safe at all for nose jobs!).

[EveRose]

On 3/9/2026 at 8:57 AM, berrygirl21 said:

In terms of synthetics, I would avoid gore-tex and PCL mesh (especially PCL, it is not considered safe at all for nose jobs!).

I agree with this. Certain materials can't be used in the face, especially for nose work. All modern and registered doctors would avoid using both of these materials because of the safety risks.