Alloplastic Augmentation of the Face

Louis, Patrick J.; Cuzalina, L. Angelo

doi:10.1016/s1061-3315(18)30037-4

Cited by 19 publications

(7 citation statements)

References 11 publications

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“…[781112] Our quest for the ideal alloplast has yielded innumerable materials in the past several decades, some of which (like Proplast) have already been abandoned.…”

Section: Discussionmentioning

confidence: 99%

“…This lead to a search for the ideal alloplastic material[78] to replace or augment the skeleton – chemically inert, biocompatible, non-allergenic, non-carcinogenic, sterilizable, easy to handle, stable, radio-opaque, cost-effective, permitting tissue in-growth. Although no single alloplast fulfilling all these criteria has been discovered till date, high density porous polyethylene (HDPE) - a large pore, biocompatible, synthetic material—appears to be suitable for maxillofacial skeletal reconstruction.…”

Section: Introductionmentioning

confidence: 99%

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Long-term results of high-density porous polyethylene implants in facial skeletal augmentation: An Indian perspective

Deshpande¹,

Munoli²

2010

Indian J Plast Surg

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Context:With the increasing emphasis on well-sculpted facial features, today there is a growing need for tools to augment the facial skeleton; either for cosmetic reasons or to re-contour deformities-congenital, post-traumatic and post-ablative. The limitations of autogenous materials has lead to evolution of numerous 'alloplasts', of which, high-density porous polyethylene (HDPE) seems to be a promising alternative.Aims:To evaluate the long term results of HDPE in facial skeletal augmentation in terms of achieving desired facial contour, patient satisfaction and complications.Settings:A tertiary care referral centre in a metropolitan set-up.Design:Case SeriesMaterials and Methods:All patients undergoing HDPE implant insertion for facial skeletal augmentation between July 2001 and November 2009 were included in the study. A total of 70 HDPE implants were inserted in 44 patients. All procedures were performed by a single surgeon following standardized pre, intra and post-operative protocols. The results were evaluated with respect to improvement in facial contour desired and achieved, overall patient satisfaction and complications encountered.Results:The study included 44 patients with a male:female ratio of 1:1, a mean age of 25.09 years (14 to 58 years) and a mean follow-up of 45.34 months (0.5 to 100 months). HDPE implants were used to augment the nasal dorsum, maxilla, malar eminence, chin, mandibular body and angle, orbital rim and frontal region. The overall recontouring afforded by the HDPE implants was good, with most patients reporting satisfactory results. There were seven complications (10%), including three cases of deviation (4.29%), three cases of exposure (4.29%) and one case of sub-clinical infection (1.43%). None however necessitated implant removal. Nasal dorsal HDPE implants, especially those involving secondary surgery, suffered a much higher complication rate compared to other implants.Conclusions:HDPE is an alternative to autogenous grafts for facial skeletal augmentation with good long-term results and a low incidence of complications, provided there is adequate vascular soft tissue cover.

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“…[781112] Our quest for the ideal alloplast has yielded innumerable materials in the past several decades, some of which (like Proplast) have already been abandoned.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Long-term results of high-density porous polyethylene implants in facial skeletal augmentation: An Indian perspective

Deshpande¹,

Munoli²

2010

Indian J Plast Surg

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“…[5,6] Facial skeletal augmentation with alloplastic materials is a well-established technique with a low incidence of complications. [7,8,11,12] Our quest for the ideal alloplast has yielded innumerable materials in the past several decades, some of which (like Proplast) have already been abandoned.…”

Section: Discussionmentioning

confidence: 99%

“…This lead to a search for the ideal alloplastic material [7,8] to replace or augment the skeleton -chemically inert, biocompatible, non-allergenic, non-carcinogenic, sterilizable, easy to handle, stable, radio-opaque, costeffective, permitting tissue in-growth. Although no single alloplast fulfilling all these criteria has been discovered till date, high density porous polyethylene (HDPE) -a large pore, biocompatible, synthetic material-appears to be suitable for maxillofacial skeletal reconstruction.…”

mentioning

confidence: 99%

Long-term results of high-density porous polyethylene implants in facial skeletal augmentation: An Indian perspective

Deshpande

Munoli

2010

Indian J Plast Surg

View full text Add to dashboard Cite

Context: With the increasing emphasis on well-sculpted facial features, today there is a growing need for tools to augment the facial skeleton; either for cosmetic reasons or to re-contour deformities—congenital, post-traumatic and post-ablative. The limitations of autogenous materials has lead to evolution of numerous ‘alloplasts’, of which, high-density porous polyethylene (HDPE) seems to be a promising alternative. Aims: To evaluate the long term results of HDPE in facial skeletal augmentation in terms of achieving desired facial contour, patient satisfaction and complications. Settings: A tertiary care referral centre in a metropolitan set-up. Design: Case Series Materials and Methods: All patients undergoing HDPE implant insertion for facial skeletal augmentation between July 2001 and November 2009 were included in the study. A total of 70 HDPE implants were inserted in 44 patients. All procedures were performed by a single surgeon following standardized pre, intra and post-operative protocols. The results were evaluated with respect to improvement in facial contour desired and achieved, overall patient satisfaction and complications encountered. Results: The study included 44 patients with a male:female ratio of 1:1, a mean age of 25.09 years (14 to 58 years) and a mean follow-up of 45.34 months (0.5 to 100 months). HDPE implants were used to augment the nasal dorsum, maxilla, malar eminence, chin, mandibular body and angle, orbital rim and frontal region. The overall recontouring afforded by the HDPE implants was good, with most patients reporting satisfactory results. There were seven complications (10%), including three cases of deviation (4.29%), three cases of exposure (4.29%) and one case of sub-clinical infection (1.43%). None however necessitated implant removal. Nasal dorsal HDPE implants, especially those involving secondary surgery, suffered a much higher complication rate compared to other implants. Conclusions: HDPE is an alternative to autogenous grafts for facial skeletal augmentation with good long-term results and a low incidence of complications, provided there is adequate vascular soft tissue cover.

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“…In addition, debridement and copious irrigation of the implant pocket and a prolonged postoperative antibiotic course are necessary. If rapid improvement does not occur and the implant needs to be removed, it should not be replaced for 6-8 weeks to allow for resolution of the infection and inflammation [50].…”

Section: Infectionmentioning

confidence: 99%

Facial Augmentation with Implants

Sarkarat¹,

Bohluli²,

Kahali³

2015

A Textbook of Advanced Oral and Maxillofacial Surgery Volume 2

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One of the primary advancements in cosmetic facial surgery has been the realization of volume loss in aging and volume replacement via cosmetic surgery [3-6]. The abundance of midfacial volume is one of the main reasons that makes a person look young, which means having the right amount of fat in the right areas of the face. The loss or shift of this fat is a main contributor to facial aging [7]. Loss of volume and volume shift occur in all regions of the face and neck and are the reasons for aged appearance [5, 6].The youthful midface has voluminous and

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Alloplastic Augmentation of the Face

Cited by 19 publications

References 11 publications

Long-term results of high-density porous polyethylene implants in facial skeletal augmentation: An Indian perspective

Long-term results of high-density porous polyethylene implants in facial skeletal augmentation: An Indian perspective

Long-term results of high-density porous polyethylene implants in facial skeletal augmentation: An Indian perspective

Facial Augmentation with Implants

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