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Fillers, including Gore-Tex, have been long utilized for reconstructive procedures as well as for esthetic purposes. We report a 46 year female, who presented to the plastic surgeon to remove a previous nasolabial implant. The tissue was removed and examined using hematoxylin and eosin staining. Three histologic patterns were seen: 1) encapsulation around a large part of the material without giant cells, nor inflammation; 2) peripheral colonization by fibrous tissue, blending with normal soft tissue, and 3) thickening of adjacent skin. We thus document a mixed histologic pattern, featuring a partial peri-implant fibrous capsule, fibrous tissue merging with surrounding normal soft tissue and focal skin thickening.

Triple histology of an extracted polytef (gore-tex) implant