Facial Plast Surg 2000; 16(1): 003-006
DOI: 10.1055/s-2000-12570

Copyright © 2000 Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel: + 1(212) 584-4662.

Biology and Chemistry of Facial Implants

Anthony P. Sclafani1 , Thomas Romo, III1
  • 1Division of Facial Plastic Surgery, The New York Eye and Ear Infirmary, New York, NY, and Department of Otolaryngology-Head and Neck Surgery, New York Medical College, Valhalla, NY
Further Information

Publication History

Publication Date:
31 December 2000 (online)

ABSTRACT

Facial implants have become increasingly more sophisticated in the past 10 to 15 years. The concept of “the ideal implant” has progressed from an inert material that interacts minimally with the host tissue to one that participates in the normal function of the tissues. A thorough understanding of their chemical properties is essential to understand the biologic events that occur around these materials after implantation. This article outlines the salient features of common materials encountered in facial implants used in plastic surgery.

REFERENCES

  • 1 Sauberman H R. Approval process for implants in otolaryngology.  Otolaryngol Clin North Am . 1995;  28 235-244
  • 2 Morehead J M, Holt G R. Soft-tissue response to synthetic biomaterials.  Otolaryngol Clin NA . 1994;  27 195-201
  • 3 Tang L, Eaton J W. Inflammatory response to biomaterials.  Am J Clin Pathol . 1995;  103 466-471
  • 4 Staffel G, Shochley W. Nasal implants.  Otolaryngol Clin NA . 1995;  28 295-308
  • 5 Costantino P D, Friedman C D, Lane A. Synthetic biomaterials in facial plastic and reconstructive surgery.  Fac Plast Surg . 1993;  9 1-15
  • 6 Silver F H, Maas C S. Biology of synthetic facial implant materials.  Fac Plast Surg Clin of North Am . 1994;  2 241-253
  • 7 Sclafani A P, Thomas J R, Cox A J, Cooper M H. Clinical and histologic response of subcutaneous expanded polytetrafluoroethylene (Gore-Tex) and porous high density polyethylene (Medpor) implants to acute and early infection.  Arch Otolaryngol Head Neck Surg . 1997;  123 328-336
  • 8 Sclafani A P, Romo T, Silver L. Clinical and histologic behavior of exposed porous high-density polyethylene implants.  Plast Reconstr Surg . 1997;  99 41-50
  • 9 Merritt K, Shafer J W, Brown S A. Implant site infection rates with porous and dense materials.  J Biomed Mater Res . 1979;  13 101-108
  • 10 Zimmerli W, Waldvogel F A, Vaudaux P, Nydegger U E. Pathogenesis of foreign body infection: Description and characteristics of an animal model.  J Infect Dis . 1982;  146 487-497
  • 11 Klock J C, Bainton D F. Degranulation and abnormal bactericidal function of granulocytes precured by reversible adhesion to nylon wool.  Blood . 1976;  48 149-161
  • 12 Klock J C, Stossel T P. Detection, pathogenesis and prevention of damage to human granulocytes caused by interaction with nylon wool fiber: Implications for filtration leukapheresis.  J Clin Invest . 1977;  60 1183-1190
  • 13 Davis P KB, Jones S M. The complications of silastic implants.  Br J Plast Surg . 1971;  24 405-411
  • 14 Mackay I S, Bull T R. The fate of silastic in the management of saddle deformity in the nose.  J Laryngol Otol . 1983;  97 43-47
  • 15 Jobe R, Iverson R, Vistnes L. Bone deformation beneath alloplastic implants.  Plast Reconstr Surg . 1973;  51 169-175
  • 16 Friedland J A, Coccaro P J, Converse J M. Retrospective cephalometric analysis of mandibular bone absorption under silicone rubber chin implants.  Plast Reconstr Surg . 1976;  57 144-151
  • 17 Stucker F J. Use of implantation in facial deformities.  Laryngoscope . 1977;  87 1523-1528
  • 18 Colton J J, Beekhuis G J. Use of Mersilene mesh in nasal augmentation.  Facial Plast Surg . 1992;  8 149-156
  • 19 Gross E J, Hamilton M M, Ackerman K, Perkins S W. Mersilene mesh chin augmentation. A 14 year experience.  Arch Facial Plast Surg . 1999;  1 183-189
  • 20 Romo T, Sclafani A P, Sabini P. Use of porous high-density polyethylene in revision rhinoplasty and in the platyrrhine nose.  Aesth Plast Surg . 1998;  22 211-221
  • 21 Whear N M, Cousley R RJ, Liew C, Henderson D. Post-operative infection of Proplast facial implants.  Br J Oral Maxillofac Surg . 1993;  31 292-295
  • 22 Schliephake H, Neukam F W, Klosa D. Influence of pore dimensions on bone ingrowth into porous hydroxyapatite blocks used as bone graft substitutes. A histometric study.  Int J Oral Maxillofac Surg . 1991;  20 53-58
  • 23 Dagli A S, Akalin Y, Bilgili H, Seckin S, Ensari S. Correction of saddle nose deformities by coral implantation.  Eur Arch Otorhinolaryngol . 1997;  254 274-276
  • 24 Byrd H S, Hobar P C. Alloplastic nasal and perialar augmentation.  Clin Plast Surg . 1996;  23 315-326
  • 25 Sachs M E. Revision Rhinoplasty: An Exploration of the Craft. New York; Springer-Verlag, Inc., in press