I have always been self-conscious about my nose and wanted to get a permanent result from rhinoplasty (osteotomy, tipplasty and alarplasty). However, most doctors recommended the aid of foreign implants of some sort (silicone, gore tex) or my own rib cartilage. Are these foreign implants supposed to last permanently or only for a period of time. Judging from these forums, revision rhinoplasty due to implants wearing out seemed more common than I had thought....