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Nose Re-Surgery

Would it be risky to remove 16-year-old Gore-Tex and put in silicone?

I'm considering revision surgery in the direction of removing Gore-Tex that was put in 17 years ago and replacing it with silicone. Originally I was only going to do the nasal tip, but most hospitals say I need to change the implant too. I'm worried that the nose shape might change a lot after Gore-Tex removal. Is removal simple? I'm worried it might be too much to remove it and put in silicone right away.

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