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Late infection following aesthetic malar augmentation with proplast implants
1Division of Plastic and Reconstructive Surgery, University of California, Los Angeles.
Plastic and Reconstructive Surgery
|February 1, 1995
Summary
Late infections after aesthetic malar augmentation with Proplast implants can occur due to implant erosion through the maxilla. Placing implants on the thicker zygoma may prevent this complication.
Area of Science:
- Plastic Surgery
- Biomaterials Science
Background:
- Aesthetic malar augmentation is a common procedure to enhance facial contours.
- Proplast implants have been used for malar augmentation, but their long-term safety and efficacy require ongoing evaluation.
Observation:
- Two cases of late-onset infection following aesthetic malar augmentation using Proplast implants were reported.
- Infection was associated with implant erosion through the anterior maxilla.
Findings:
- The etiology of infection appears to be contamination secondary to implant migration and erosion.
- The thin anterior wall of the maxilla may be a predisposing factor for implant erosion.
Implications:
- Surgical technique modification, specifically placing implants over the thicker portion of the zygoma, may reduce the risk of erosion and subsequent infection.
- This finding is crucial for improving patient safety in aesthetic malar augmentation procedures.