Chin Alloplastic Implants Workup

  • Author: John A Grossman, MD; Chief Editor: Al Aly, MD, FACS   more...
 
Updated: Nov 21, 2011
 

Laboratory Studies

  • Perform studies appropriate to the level of surgery and type of anesthetic planned based on patient age, general state of health, and present medical conditions. Include complete blood count and urinalysis. If bleeding history is of concern, include prothrombin time, activated partial thromboplastin time, and bleeding and clotting times.
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Imaging Studies

  • Obtain a chest radiograph if the patient has a history of smoking or is a woman older than 50 years or a man older than 45 years. Most of the time this is performed only if indicated by history and physical examination.
  • For a straightforward alloplastic mentoplasty, facial radiographs, panoramic radiographs of the mouth, and cephalometrigrams are not indicated.
  • In more severe situations, in which alloplastic mentoplasty still is considered, an oral surgical and orthodontic evaluation that includes dental models, panoramic radiographs, and cephalometrigrams is appropriate, as are accurate clinical photographs.
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Other Tests

  • Obtain an ECG if relevant history indicates the need or for a woman older than 50 years or a man older than 45 years.
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Contributor Information and Disclosures
Author

John A Grossman, MD  Clinical Instructor of Plastic Surgery, University of Colorado Health Sciences Center; Private Practice, Plastic and Reconstructive Surgery

John A Grossman, MD is a member of the following medical societies: American Burn Association, American Medical Association, American Society for Aesthetic Plastic Surgery, American Society for Laser Medicine and Surgery, American Society of Plastic Surgeons, Colorado Medical Society, Lipoplasty Society of North America, and Pan-Pacific Surgical Association

Disclosure: Nothing to disclose.

Specialty Editor Board

Gregory Caputy, MD, PhD, FICS  Chief Surgeon, Aesthetica Plastic and Laser Surgery Center, Inc

Gregory Caputy, MD, PhD, FICS is a member of the following medical societies: American Society for Laser Medicine and Surgery, Canadian Medical Association, International College of Surgeons, International College of Surgeons US Section, Pan-Pacific Surgical Association, and Wound Healing Society

Disclosure: Syneron Corporation Salary Speaking and teaching

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

Edward Owen Terino, MD  Director, Department of Plastic Surgery, Los Robles Medical Center

Edward Owen Terino, MD is a member of the following medical societies: American College of Surgeons, American Society for Aesthetic Plastic Surgery, and International College of Surgeons

Disclosure: Nothing to disclose.

Nicolas (Nick) G Slenkovich, MD  Director, Colorado Plastic Surgery Center

Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and Colorado Medical Society

Disclosure: Nothing to disclose.

Chief Editor

Al Aly, MD, FACS  Clinical Professor of Plastic Surgery, University of California, Irvine, School of Medicine

Disclosure: Ethicon Consulting fee Consulting; QMP Royalty Book royalty; Insorb Stapler Consulting fee Consulting; Insorb Stapler Ownership interest None; Angiotech Consulting fee None

References

  1. Coburn RJ, Rees TD, Horowitz S. Mentoplasty. In: Rees TD, ed. Aesthetic Plastic Surgery. Vol 2. Philadelphia, PA: WB Saunders Co; 1980:770.

  2. Cohen SR. Genioplasty. In: Guyuron B et al, eds. Plastic Surgery: Indications, Operations, and Outcomes. St Louis: Mosby; 2000:2683-2686.

  3. Yaremchuk MJ, Doumit G, Thomas MA. Alloplastic augmentation of the facial skeleton: an occasional adjunct or alternative to orthognathic surgery. Plast Reconstr Surg. May 2011;127(5):2021-30. [Medline].

  4. Rubin, LR, Robertson, GW, Shapiro, RN. Polyethylene in reconstructive surgery. Plast Reconstr Surg. 1948;3:586.

  5. Abdo Filho RC, Oliveira TM, Lourenço Neto N, Gurgel C, Abdo RC. Reconstruction of bony facial contour deficiencies with polymethylmethacrylate implants: case report. J Appl Oral Sci. Aug 2011;19(4):426-30. [Medline].

  6. Binder WJ, Kamer FM, Parkes ML. Mentoplasty--a clinical analysis of alloplastic implants. Laryngoscope. Mar 1981;91(3):383-91. [Medline].

  7. Cohen SR, Mardach OL, Kawamoto HK Jr. Chin disfigurement following removal of alloplastic chin implants. Plast Reconstr Surg. Jul 1991;88(1):62-6; discussion 67-70. [Medline].

  8. Eppley BL. Alloplastic implantation. Plast Reconstr Surg. Nov 1999;104(6):1761-83; quiz 1784-5. [Medline].

  9. Eppley BL, Sadove AM, Holmstrom H, et al. HTR polymer facial implants: a five-year clinical experience. Aesthetic Plast Surg. Sep-Oct 1995;19(5):445-50. [Medline].

  10. Guyuron B, Raszewski RL. A critical comparison of osteoplastic and alloplastic augmentation genioplasty. Aesthetic Plast Surg. Summer 1990;14(3):199-206. [Medline].

  11. Karras SC, Wolford LM. Augmentation genioplasty with hard tissue replacement implants. J Oral Maxillofac Surg. May 1998;56(5):549-52. [Medline].

  12. Kobayashi T, Shingaki S, Nakajima T, et al. Chin augmentation with porous hydroxyapatite blocks. J Long Term Eff Med Implants. 1993;3(4):283-94. [Medline].

  13. Matarasso A, Elias AC, Elias RL. Labial incompetence: a marker for progressive bone resorption in silastic chin augmentation. Plast Reconstr Surg. Nov 1996;98(6):1007-14; discussion 1015. [Medline].

  14. McCollough EG, Hom DB, Weigel MT, et al. Augmentation mentoplasty using Mersilene mesh. Arch Otolaryngol Head Neck Surg. Oct 1990;116(10):1154-8. [Medline].

  15. Moenning JE, Wolford LM. Chin augmentation with various alloplastic materials: a comparative study. Int J Adult Orthodon Orthognath Surg. 1989;4(3):175-87. [Medline].

  16. Peled IJ, Wexler MR. Screw fixation of silicone implants. Ann Plast Surg. Aug 1987;19(2):195-6. [Medline].

  17. Peterson RA. Correction of the senile chin deformity in face lift. Clin Plast Surg. Apr 1992;19(2):433-45. [Medline].

  18. Pitanguy I, Martello L, Caldeira AM, et al. Augmentation mentoplasty: a critical analysis. Aesthetic Plast Surg. 1986;10(3):161-9. [Medline].

  19. Salman L, Kinney LA. Clinical response of hard tissue replacement (HTR) polymer as an implant material in oral surgery patients. J Oral Implantol. 1992;18(1):24-8. [Medline].

  20. Terino EO. Alloplastic facial contouring by zonal principles of skeletal anatomy. Clin Plast Surg. Apr 1992;19(2):487-510. [Medline].

  21. Terino EO, Flowers RS. Alloplastic contouring in the premandible-jawline lower third facial unit. In: Terino Eo, Flowers RS, eds. The Art of Alloplastic Facial Contouring. St Louis: Mosby; 2000:153-163.

  22. Toranto IR. Mentoplasty: a new approach. Plast Reconstr Surg. May 1982;69(5):875-8. [Medline].

  23. Vuyk HD. Augmentation mentoplasty with solid silicone. Clin Otolaryngol Allied Sci. Apr 1996;21(2):106-18. [Medline].

 
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Markings on chin prior to augmentation.
Examples of anatomic implant sizers for chin augmentation.
Graphic illustration of chin implant position.
Surgical dissection and exposure, chin augmentation procedure.
More development of implant space, chin augmentation procedure.
Insertion of temporary sizer, chin augmentation procedure.
Insertion of actual implant, chin augmentation procedure.
Stabilizing implant with suture, chin augmentation procedure.
Closed wound, chin augmentation procedure.
Suture-closed wound, chin augmentation procedure.
Before and after mentoplasty.
Before and after mentoplasty using solid silicone alloplastic implant.
Solid silicone implant for mentoplasty.
Silastic (silicone) implant placed on skeletal chin.
Skeletal chin.
 
 
 
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