Experience With Gel-Filled Implants in Augmentation Mentoplasty

Abstract

• Many materials have been used for augmentation mentoplasty with varying degrees of success. In our experience with the silicone bag-gel implant in 50 cases over the past 18 months the results have been quite satisfactory and there were no untoward complications.(Arch Otolaryngol 103:292-293, 1977)

Crushed Cartilage Grafts for Concealing Irregularities in Rhinoplasty

“…Although some authors have suggested that temporalis fascia grafts are among the most reliable materials and are associated with reasonably low resorption rates, 5,8,23 those grafts are difficult to manipulate because they are thin and slippery. 23,24 Alloplastic materials, such as gelatin film, 4 polyglactin 910 (Vicryl suture; Johnson & Johnson Gateway LLC, Piscataway, New Jersey), 6 and Gore-Tex (W. L. Gore & Associates Inc, Newark, Delaware), 7 have also been advocated for that purpose. However, absorbable synthetics do not last long, and of all graft materials, nonabsorbable synthetics are associated with the highest rates of infection and extrusion.…”

“…Various graft materials including autografts, alloplasts, and homografts have been used for this purpose. [2][3][4][5][6][7][8] However, all grafts have different degrees of risk for rejection, infection, extrusion, later visibility, distortion, and resorption. The search for the perfect graft material continues.…”

Viability of Crushed and Diced Cartilage Grafts

“…Such problems tend to become more obvious after edema subsides and, if the skin is thin, may be even more prominent years after surgery. 1,2 Various graft materials, including cartilage, 2 resected nasal hump tissue, 3 dermal grafts, 4 temporoparietal fascia grafts, 5 and alloplastic materials, [6][7][8] have been used to prevent the "operated-on look" and to mask dorsal irregularities after rhinoplasty. Grafts may either resorb or become visible in the late postoperative period.…”

“…In patients who have thin skin on the nose, the edges of the underlying osseocartilaginous skeleton tend to become more prominent as years progress after the operation. 2,[4][5][6] Placement of a dorsal graft can prevent the skin from coming into direct contact with the underlying irregular nasal framework. Sev-eral types of grafts have been suggested for this purpose and to prevent the "operated-on look"; however, none is entirely satisfactory.…”

“…Others have claimed that the volume of these grafts may decrease after several years. 2,4 Alloplastic materials, such as gelatin film, 6 polyglactin 910, 7 and expanded polytetrafluoroethylene, 8 have also been advocated for this purpose. However, absorbable synthetics do not last long, and nonabsorbable synthetics have the highest rates of infection and extrusion of all graft materials.…”