Surgical Mini-Lectures and Clinics
Friday, October 16, 2009
7:00AM - 9:00AM
S312
Current Concepts of Facial Alloplastic Contouring
Handouts Not
Currently Available
Likith V. Reddy, DDS, MD
Associate Professor and Chair, Department of Oral & Maxillofacial Surgery, LSU Health Science Center, School of Dentistry
New Orleans, LA
Jon D. Perenack, DDS, MD
Assistant Professor, Department of Oral and Maxillofacial Surgery, LSU Health Science Center, School of Dentistry
New Orleans, LA
Synopsis
Facial contouring can be undertaken for reconstructive or cosmetic purposes. Patients seeking facial augmentation are interested in enhancing a specific facial area. This area may have been altered by trauma, or the patient's desire for alteration of an area of face for esthetic reasons. Most often, patients seek these treatments to improve their appearance. A variety of facial implant materials can be used for bone and soft tissue alteration. These materials range from autografts to allografts to synthetic materials. Alloplastic implants offer many advantages over reconstruction using autogenous tissue, including availability of material and simplification of operative procedure. For patients in whom sufficient autogenous material is not available or donor site morbidity is of concern, alloplastic implants can provide optimal volume without the need for tissue harvest, and decreased anesthesia time. The wide range of implantable synthetic materials can be divided into a few categories: carbon-based polymers, non-carbon-based polymers, aliphatic polyesters, metals, and ceramics. Each of the different substances has a unique profile of strength, flexibility, durability, resistance to infection, and tissue ingrowth that affects the decision of materials to use for various purposes. This clinic will emphasize bony alterations primarily with soft tissue augmentation in cases when desired. A methodical approach with facial analysis, selection of technique, and implant materials will be discussed in detail. These procedures can also be utilized in combination with traditional facial osteotomies to maximize the esthetic outcome for the patient. The advantages and disadvantages will be reviewed with various techniques and materials. The procedures and technique currently favored by the presenter for temporal, forehead, malar, submalar, mandible and chin implant contouring techniques will be described in detail. This includes size selection, material selection and approaches.
Learning Objectives
At the conclusion of this presentation, participants should be able to:
- Develop an appreciation for skeletal contours, and enhancement by alloplastic materials.
- Identify the available materials that can be easily integrated with office surgery.
- Discuss the techniques, materials and size selection for forehead, midface and lower face contouring.