Facial plast Surg 2017; 33(02): 241-243
DOI: 10.1055/s-0037-1599093
Letter to the Editor
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Facial Augmentation using Expanded Polytetrafluoroethylene Covered Silicone

Sami P. Moubayed1, Chayada Chanasriyotin1, Sam P. Most1
  • 1Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology - Head and Neck Surgery, Stanford University, Stanford, California
Further Information

Publication History

Publication Date:
07 April 2017 (online)

Two commonly used implant materials for aesthetic facial augmentation[1] are solid silicone (silastic) and expanded polytetrafluoroethylene (ePTFE; Gore-Tex, W. L. Gore and Associates, Flagstaff, AZ). The main shortcomings of silicone are capsular formation and implant visibility ([Fig. 1]).[2] EPTFE implants have micropores on the surface that allow for tissue ingrowth, stabilization, and avoidance of a capsule.[2] However, these have the potential for long-term deformation due to shrinkage.[2] The rationale for the composite implant is that it offers the benefits of silicone (maintenance of form, natural feel) with the biocompatibility of ePTFE coating as a biological interface. In this letter, we aim to examine our indications and outcomes with this material.

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Fig. 1 Dorsal nasal silicone implant showing peripheral calcification. Sagittal section of a computed tomography scan of the sinuses in a patient having undergone dorsal nasal augmentation with a silicone implant 20 years ago showing a calcified capsule surrounding the implant (white arrows).