Intraoperative custom contouring of the mandible

Area of Science:

• Plastic Surgery
• Facial Aesthetic Surgery
• Quantitative Surgical Techniques

Background:

• Augmentation mentoplasty aims to improve chin projection and facial aesthetics.
• Achieving consistent and accurate results in mentoplasty can be challenging.
• Silastic implants are commonly used for chin augmentation.

Purpose of the Study:

• To apply a quantitative approach to augmentation mentoplasty using Silastic implants.
• To achieve consistently accurate results in chin augmentation procedures.
• To introduce and evaluate a Silastic extension wafer for custom implant contouring.

Main Methods:

• A case series study was conducted in a private practice setting.
• One hundred patients undergoing elective facial cosmetic surgery were included.
• Ideal profile augmentation was defined as chin projection within 2 mm of a vertical line from the lower lip.

Main Results:

• A quantitative approach to augmentation mentoplasty resulted in ideal profile augmentation in 98 out of 100 patients.
• The Silastic extension wafer facilitated easy intraoperative customization of implants.
• High accuracy rates were achieved in achieving the desired chin projection.

Conclusions:

• A quantitative approach to augmentation mentoplasty provides consistently accurate outcomes.
• Intraoperative customization of Silastic implants is crucial for successful augmentation mentoplasty.
• The Silastic extension wafer is an effective tool for intraoperative implant customization.