Forehead Augmentation with a Methyl Methacrylate Onlay Implant Using an Injection-Molding Technique
Archives of Plastic Surgery
;
: 597-602, 2013.
Artículo
en Inglés
| WPRIM
| ID: wpr-160239
ABSTRACT
BACKGROUND:
The forehead, which occupies about one third of the face, is one of the major determinants of a feminine or masculine look. Various methods have been used for the augmentation of the forehead using autologous fat grafts or alloplastic materials. Methylmethacrylate (MMA) is the most appropriate material for augmentation of the forehead, and we have used an injection-molding technique with MMA to achieve satisfactory results.METHODS:
Under local anesthesia with intravenous (IV) sedation, an incision was made on the scalp and a meticulous and delicate subperiosteal dissection was then performed. MMA monomers and polymers were mixed, the dough was injected into the space created, and manual molding was performed along with direct inspection. This surgery was indicated for patients who wanted to correct an unattractive appearance by forehead augmentation. Every patient in this study visited our clinics 3 months after surgery to evaluate the results. We judged the postoperative results in terms of re-operation rates caused by the dissatisfaction of the patients and complications.RESULTS:
During a 13-year period, 516 patients underwent forehead augmentation with MMA. With the injection-molding technique, the inner surface of the MMA implant is positioned close to the underlying frontal bone, which minimizes the gap between the implant and bone. The borders of the implant should be tapered sufficiently until no longer palpable or visible. Only 28 patients (5.4%) underwent a re-operation due to an undesirable postoperative appearance.CONCLUSIONS:
The injection-molding technique using MMA is a simple, safe, and ideal method for the augmentation of the forehead.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Polímeros
/
Cuero Cabelludo
/
Cirugía Plástica
/
Trasplantes
/
Metilmetacrilato
/
Frente
/
Hueso Frontal
/
Hongos
/
Incrustaciones
/
Anestesia Local
Tipo de estudio:
Estudio diagnóstico
/
Guía de Práctica Clínica
Límite:
Humanos
Idioma:
Inglés
Revista:
Archives of Plastic Surgery
Año:
2013
Tipo del documento:
Artículo
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