From Novel Facial Measurements to Facial Implantology: A Systematic Review.

Background: Facial implants have emerged as pivotal tools for both reconstructive and aesthetic skull bone augmentation. Contemporary manufacturing techniques, such as computer-aided design and manufacturing (CAD-CAM) systems, have revolutionized facial implants production, providing the advantages of high-level individualization. However, the absence of standardized facial measurements complicates the ability to accurately compare outcomes across various techniques.

Short-Term Outcomes of High-Density Porous Polyethylene Orthoses for Chin and Gonial Angle Augmentation.

Unlabelled: The high-density porous polyethylene implants are used in chin and gonial angle augmentation surgeries. These implants are valued for their biocompatibility and ease of integration with tissues, particularly in correcting retrognathia and mandibular hypoplasia. The research aimed to detail the epidemiological profile, feasibility, outcomes, and complications associated with these procedures.

Custom alloplastic bilateral TMJ reconstruction and distraction osteogenesis in a 6-year-old with OSA secondary to bilateral TMJ ankylosis. A case report.

Introduction And Importance: Temporomandibular joint (TMJ) ankylosis in children severely impacts mouth opening, orofacial growth, airway space, and overall quality of life. While costochondral grafts (CCG) are the gold standard for end-stage TMJ reconstruction in children, their unpredictable growth poses challenges, including potential overgrowth, undergrowth, resorption, and reankylosis. However, recent reports have suggested the feasibility of alloplastic TMJ in pediatric patients.

Facial Implants in Male Rejuvenation.

Many different methods achieve male facial augmentation. Arranged from shorter- to longer-term results, these methods include filler, fat/tissue grafting, fat/tissue transposition, and alloplastic implants. This study solely reviews allografts, which provide the most predictable hard-tissue augmentation.

The Pyramid Chin Augmentation: A New Technique.

The surgical approach to chin for esthetical purpose can be isolated or in a combination with other treatments like maxillomandibular surgery. Both possibilities include sliding genioplasty or implants of autologous or alloplastic materials. In this article, the authors present their new technique, the Pyramid Chin Augmentation.

Standard and Customized Alloplastic Facial Implants Refining Orthognathic Surgery: Outcome Evaluation.

Purpose: Conventional orthognathic osteotomies provide appropriate functional outcomes but might be unable to correct midface deficiency, achieve a satisfactory outcome in asymmetrical cases, or allow sufficient chin advancement. We evaluated the outcome of both standard and customized facial high-density porous polyethylene implants used to refine the cosmetic outcome of orthognathic surgery.

Patients And Methods: We implemented a retrospective study.

Lower Jaw Recontouring in Facial Gender-Affirming Surgery.

Facial gender-affirming surgery can have significant impact on patient quality of life for some gender-dysphoric patients. Lower jaw contouring can be used to harmonize the face during facial gender-affirming surgery through masculinization or feminization. During feminization, the mandibular angle and body and chin are reduced in width and size.

Maxillofacial reconstruction with Medpor porous polyethylene implant: a case series study.

Objectives: The role of alloplastic materials in maxillofacial reconstruction is still controversial. Determining the utility of porous, high-density, polyethylene implants as a highly stable and flexible, porous alloplast, with properties such as rapid vascularization and tissue ingrowth, is crucial in cases of maxillofacial deformities and aesthetic surgery.

Materials And Methods: Thirty high-density porous polyethylene implants were implanted in 16 patients that had been referred to a private office over a three-year period.

[The application of alloplastic materials for augmentation in cosmetic facial surgery].

Alloplastic augmentation materials can be used to change or to accentuate facial contours and to add facial v olume. These implants are usually inserted in a subperiosteal pocket but can also be placed supraperiostally. The most popular facial implants are made of solid silicone, porous polyethylene or porous hydroxylapatite.

One-stage microvascular mandible reconstruction and alloplastic TMJ prosthesis.

Severely deformed or absent temporomandibular joints (TMJ) benefit from total alloplastic joint replacement and large mandibular defects from revascularized free tissue transfer for reconstruction. However no cases of their combined one-stage placement with outcomes can be found in the literature. We present two cases with different indications and reconstruction.

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

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.

Importance of chin evaluation and treatment to optimizing neck rejuvenation surgery.

The chin is the keystone linking the aesthetics of the face and neck but is often neglected in the analysis. Procedures related to the chin play an important role in defining neck anatomy. Alloplastic implants can provide the illusion of a longer jaw line in a patient with retrogenia.

High-tech facelift.

Recent technological advances in our specialty have made us reappraise the way we approach facial rejuvenation. Some of these technological interfaces have made it possible, in the author's experience, to improve results and to tackle difficult aesthetic problems. The purpose of this paper is to report how we combine these technological advances in an effort to improve the aesthetic outcomes.

Case report: dentofacial orthopedic and surgical orthodontic treatment in hemifacial microsomia.

The patient showed bilateral agenesis of the mandibular condyle and glenoid fossa, rare features of hemifacial microsomia. The patient was treated with functional appliances to modify mandibular growth during active facial growth. After the pubertal growth spurt, treatment included rotational advancement of the mandible combined with alloplastic reconstruction of the condylar process and glenoid fossa.

Alloplastic augmentation of the mandibular angle.

Purpose: This article describes the use of a large-pore polyethylene implant for mandibular angle augmentation.

Patients And Methods: Patients with severe facial deformities who had previously undergone multiple surgical procedures and were now seeking esthetic improvement were included in this series. Their deficient mandibular angles and reduced ramus height were corrected with polyethylene implants appropriately sculptured and fixed to the mandible through extraoral incisions that preexisted in most patients.

Nasal base, maxillary, and infraorbital implants--alloplastic.

The aesthetic surgery of the facial skeletal contour requires either the performance of ostectomies of excessively prominent segments or the augmentation of retruded segments with organic or synthetic material, in order to achieve balanced tridimensional relations of each segment with regard to the total facial unit. Craniomaxillofacial surgeries are necessary in major malformations or in those combined with malocclusion. In the nasal dorsum or tip, the author prefers the use of cartilage, because synthetic materials need adequate soft-tissue bulk for cover to be inserted without tension and absence of passive mobility of the reception site.

A critical comparison of osteoplastic and alloplastic augmentation genioplasty.

This retrospective study was undertaken in order to compare the objective and subjective outcomes of the osteoplastic and alloplastic genioplasties. Of the 76 patients that underwent augmentation or advancement genioplasty, 34 were subjects of osteoplastic genioplasty and 42 received implants. Twenty seven of 34 patients who underwent osteotomy and 32 of 42 patients whose chins were augmented with an implant responded to the questionnaires.

Monocortical wire osteosynthesis for the midface and lower jaw.

An innovative angle drill apparatus permits fixation of soft tissue, transplants, or alloplastic implants onto bone, as well as monocortical wire osteosynthesis. Thus it is necessary to expose only one bony surface. We are herewith reporting our initial clinical experience with this technique.