"Practical suggestions on facial plastic surgery -- how I do it". Augmentation mentoplasty using polyamide mesh

Area of Science:

• Plastic Surgery
• Biomaterials

Background:

• Augmentation mentoplasty reshapes the chin using grafts or implants.
• Autogenous grafts require additional surgery, while alloplastic materials offer advantages like availability and ease of use.
• Potential complications of alloplastic implants include infection, rejection, displacement, and bone resorption.

Purpose of the Study:

• To evaluate the author's four-year experience with supraperiosteal polyamide mesh for augmentation mentoplasty in 100 patients.
• To describe the surgical technique for polyamide mesh placement.
• To assess the efficacy and safety of polyamide mesh in chin augmentation.

Main Methods:

• Supraperiosteal placement of polyamide mesh in 100 patients.
• Detailed description of the surgical technique.
• Four-year follow-up to assess outcomes and complications.

Main Results:

• Consistently good results with no implants requiring removal or replacement.
• Polyamide mesh demonstrated ease of insertion, flexibility, and fibrous tissue ingrowth.
• No roentgenographically demonstrable evidence of underlying mandibular bone resorption was observed.

Conclusions:

• Polyamide mesh is a safe and effective alloplastic material for augmentation mentoplasty.
• The material offers advantages such as ease of use, adaptability, and a natural feel.
• Long-term follow-up indicates no significant complications like bone resorption or implant failure.