Augmentation mentoplasty is an increasingly common surgical procedure that reshapes the contour of the mental area. Presently, there is a paucity of information comparing the efficacy and potential complications of the various techniques and implant materials now utilized in correcting chin deficiencies. A survey was thus devised and sent to Fellows of the American Academy of Facial Plastic and Reconstructive Surgery. Ninety-two surgeons responded describing their results on 11,095 mentoplasty procedures. The overall complication rate was 7.6% with both intraoral and extraoral approaches having similar morbidity. Silicone prostheses had the lowest complication rate, while a higher incidence was associated with acrylic and Proplast® products. The ideal implant has yet to be found and the search should continue for more suitable materials.
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