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Related Experiment Videos

Who is still using expanded polytetrafluoroethylene?

Sue Ellen Cox1

  • 1Department of Dermatology, University of North Carolina, and Aesthetic Solutions, Chapel Hill, North Carolina 27517, USA. sec@aesthetic-solutions.com

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [Et Al.]
|January 19, 2006
PubMed
Summary

Physician satisfaction with expanded polytetrafluoroethylene (ePTFE) implants for facial augmentation declined significantly over time. Long-term use revealed increased disappointment and revision rates, particularly for lip augmentation.

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Area of Science:

  • Plastic Surgery
  • Biomaterials Science

Background:

  • Expanded polytetrafluoroethylene (ePTFE) is a permanent implant used for facial soft tissue augmentation, primarily in the lower face.
  • Common applications include lip augmentation, nasolabial folds, and deeper facial lines.
  • Physicians have reported various complications associated with ePTFE implants.

Purpose of the Study:

  • To evaluate trends in physician satisfaction with ePTFE implants for facial augmentation.
  • To assess long-term physician and perceived patient satisfaction with ePTFE.
  • To document changes in revision rates and favored implantation sites over time.

Main Methods:

  • Two physician satisfaction surveys were conducted, one in February 2000 and a follow-up in July 2003.
  • Surveys assessed perceived patient and physician satisfaction, favored augmentation sites, implant quantity, and revision rates.

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  • The second survey specifically aimed to gather information on long-term satisfaction.

    • Main Results:

    • Initial surveys showed high perceived patient satisfaction, except for lip augmentation.
    • The 2003 survey revealed 100% physician disappointment with ePTFE products.
    • Revision rates increased across all applications between surveys, with significant variability reported for lips.

    Conclusions:

    • Physician satisfaction with ePTFE for facial augmentation has decreased over time.
    • Long-term experience indicates potential issues with ePTFE, necessitating reevaluation.
    • Further studies with objective measurements and patient-reported outcomes are needed to fully assess ePTFE efficacy and satisfaction.