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Facial Plast Surg 2001; 17(1): 067-078
DOI: 10.1055/s-2001-16367
Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Augmentation of the Cheeks, Chin and Pre-jowl Sulcus, and Nasolabial Folds

Thomas Romo III1,2 , Jonathan Z. Baskin3 , Anthony P. Sclafani1
  • 1Department of Otolaryngology-Head and Neck Surgery and Division of Facial Plastic Surgery, The New York Eye and Ear Infirmary, New York, New York
  • 2Division of Facial Plastic Surgery, Lenox Hill Hospital, New York, New York
  • 3Department of Otolaryngology and Head and Neck Surgery, New York University School of Medicine, New York, New York
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Publication History

Publication Date:
31 December 2001 (online)

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ABSTRACT

The demand for augmentation of central and lower facial features continues to increase. There are several safe and effective materials available for this purpose, and techniques have become highly refined. The relative strengths and weaknesses of silicone, expanded polytetrafluoroethylene (ePTFE), high-density polyethylene (HDPE), and merseline mesh are discussed for augmentation of the chin/pre-jowl sulcus and cheek. Materials for augmentation of the nasolabial folds (NLF) are also discussed. There are various forms of solid ePTFE that have been developed for soft tissue augmentation. These are particularly well suited for the NLF. Techniques for facial skeletal and soft tissue augmentation are presented.

KEYWORD

Facial augmentation - silicone - expanded polytetrafluoroethylene - high-density polyethylene - nasolabial folds

REFERENCES

  • 1 Rubin J P, Yaremchuk M J. Complications and toxicities of implantable biomaterials used in facial reconstructive and aesthetic surgery: a comprehensive review of the literature.  Plast Reconstr Surg . 1997;  100 1336-1353
    CrossrefPubMedGoogle Scholar
  • 2 Constantinides M S, Doud-Galli S K, Miller P J, Adamson P A. Malar, submalar, and midfacial implants.  Fac Plast Surg . 2000;  16 35-44
    PubMedGoogle Scholar
  • 3 Sclafani A P, Romo T. Biology and chemistry of facial implants.  Fac Plast Surg . 2000;  16 3-6
    PubMedGoogle Scholar
  • 4 Ellenbogen R, Rubin L R. Toxicity associated with injectable silicone. In: Rubin LR, ed. Biomaterials in Reconstructive Surgery St. Louis: Mosby 1983: 252-259
    Google Scholar
  • 5 Silver F H, Maas C S. Biology of synthetic facial implant materials.  Fac Plast Surg Clin NA . 1994;  2 241-254
    PubMedGoogle Scholar
  • 6 Constantino P D. Synthetic biomaterials for soft tissue augmentation and replacement in the head and neck.  Otolaryngol Clin NA . 1994;  27 223-262
    PubMedGoogle Scholar
  • 7 Gabriel S E, O'Fallon W M, Kurland L T, Beard C M, Woods J E, Melton III J L. Risk of connective-tissue diseases and other disorders after breast implantation.  N Engl J Med . 1994;  330 1697-1702
    CrossrefPubMedGoogle Scholar
  • 8 Sanchez-Guerrero J, Colditz G A, Karlson E W, Hunter D J, Speizer F E, Liang M H. Silicone breast implants and the risk of connective-tissue diseases and symptoms.  N Engl J Med . 1995;  332 1666-1670
    CrossrefPubMedGoogle Scholar
  • 9 Metzinger S E, McCollough E G, Campbell J P, Rousso D E. Malar augmentation: a 5-year retrospective review of the silastic midfacial malar implant.  Arch Otolaryngol Head Neck Surg . 1999;  125 980-987
    PubMedGoogle Scholar
  • 10 Terino E O. Facial contouring with alloplastic implants: aesthetic surgery that creates three dimensions.  Fac Plast Surg . 1999;  7 55-83
    PubMedGoogle Scholar
  • 11 Ersek R A, Beisang III A A. Bioplastique: a new biphasic polymer for minimally invasive injection implantation.  Aesthet Plast Surg . 1992;  16 59-65
    PubMedGoogle Scholar
  • 12 Mladick R A. Twelve months of experience with Bioplastique.  Aesthet Plast Surg . 1992;  16 69-76
    PubMedGoogle Scholar
  • 13 Simons G, Mazaleyrat P, Masurel T. Utilization of injectable microimplants in aesthetic facial surgery.  Aesthet Plast Surg . 1992;  16 77-82
    PubMedGoogle Scholar
  • 14 Sykes J M, Strong E B. Mentoplasty.  Fac Plast Surg Clin NA . 1999;  7 85-94
    PubMedGoogle Scholar
  • 15 Neel III B H. Implants of Gore-Tex.  Arch Otolaryngol . 1983;  109 427-433
    PubMedGoogle Scholar
  • 16 Spector M, Flemming W R, Sauer B W. Early tissue infiltrate in porous polyethylene implants into bone: a scanning electron microscope study.  J Biomed Mater Res . 1975;  9 537-542
    PubMedGoogle Scholar
  • 17 Wellisz T. Clinical experience with the Medpor porous polyethylene implant.  Aesthet Plast Surg . 1993;  17 339-344
    CrossrefPubMedGoogle Scholar
  • 18 Romo T, Fozo M S, Sclafani A P. Microtia reconstruction using a porous polyethylene framework.  Fac Plast Surg . 2000;  16 15-22
    PubMedGoogle Scholar
  • 19 Malaisrie S C, Malekzadeh S, Biedlingmaier J F. In vivo analysis of bacterial biofilm formation on facial plastic bioimplants.  Laryngoscope . 1998;  108 1733-1738
    CrossrefPubMedGoogle Scholar
  • 20 Robinson M. Bone resorption under plastic chin implants: follow-up of a preliminary report.  Arch Otolaryngol . 1972;  95 30-32
    PubMedGoogle Scholar
  • 21 Choe K S, Stucki-McCormick S U. Chin augmentation.  Fac Plast Surg . 2000;  16 45-54
    PubMedGoogle Scholar
  • 22 Colton J J. Augmentation with mersilene mesh.  Arch Fac Plast Surg . 1999;  1 190
    PubMedGoogle Scholar
  • 23 Gross E J, Hamilton M M, Ackermann K, Perkins S W. Mersilene mesh chin augmentation: a 14-year experience.  Arch Fac Plast Surg . 1999;  1 183-189
    PubMedGoogle Scholar
  • 24 Ahn M S, Monihan N, Maas C S. Soft tissue augmentation.  Fac Plast Surg Clin NA . 1999;  7 35-41
    PubMedGoogle Scholar
  • 25 Miller P J, Levine J, Ahn M S, Maas C S, Constantinides M. Softform for facial rejuvenation: historical review, operative techniques, and recent advances.  Fac Plast Surg . 2000;  16 23-28
    PubMedGoogle Scholar