The Current Status of Expanded Polytetrafluoroethylene (Gore-Tex) in Facial Plastic Surgery

Levine, Brett R.; Berman, Walter E.

doi:10.1177/014556139507401004

Cited by 23 publications

(12 citation statements)

References 15 publications

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“…This led to years of experience and experimentation with ePTFE in the facial cosmetic arena. 2 ePTFE comes in different forms and is manufactured by various companies. The most frequently used solid soft tissue implants in the United States for facial augmentation are Gore-Tex, UltraSoft, which has replaced SoftForm (Tissue Technologies Inc., San Francisco, CA, USA), and Advanta (Atrium Medical Corporation, Hudson, NH, USA).…”

Section: Sue Ellen Cox MD Has Indicated No Significant Interest Witmentioning

confidence: 99%

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Who Is Still Using Expanded Polytetrafluoroethylene?

Cox

2005

Dermatologic Surgery

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New procedures are often quickly embraced by both physicians and patients. It is crucial that we reevaluate and report long-term experience and satisfaction. Although this informal survey has limitations, it appears that some physicians are less satisfied with ePTFE as a soft tissue implant. Larger studies including objective measurements delineating the degree of improvement and subjective patient satisfaction would be welcomed.

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Section: Sue Ellen Cox MD Has Indicated No Significant Interest Witmentioning

confidence: 99%

“…In 1993, the US Food and Drug Administration (FDA) approved ePTFE (Gore‐Tex, WL Gore & Associates, Flagstaff, AZ, USA) implants for facial defect reconstruction and augmentation. This led to years of experience and experimentation with ePTFE in the facial cosmetic arena 2…”

mentioning

confidence: 99%

Who Is Still Using Expanded Polytetrafluoroethylene?

Cox

2005

Dermatologic Surgery

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“…It is also noncarcinogenic, seldom allergenic, and causes minimal tissue reaction. 6,9 Gore-Tex is available in 1 mm, 2 mm, and 4 mm thick sheets and sutures. The sheets have been used in other surgeries including general, cardiovascular, and urogynecological surgery.…”

Section: Gore-texmentioning

confidence: 99%

Chin Augmentation

Choe¹,

Stucki-McCormick²

2000

Facial Plast Surg

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The primary goal of facial aesthetic surgery is to restore, enhance, and rejuvenate the aging face to a more youthful appearance, achieving balance and harmony. The mental area must be addressed in order to have a complete synthesis of the face. The concept of augmenting the mental area with implants has evolved so significantly that it now stands by itself as an important procedure. Various autogenous implants for chin augmentation have been in use for over 100 years but have complications. The advent of synthetic materials has given rise to various types of alloplastic implants: Gore-Tex, Medpor, Supramid, Silastic, and Mersilene. No one implant is perfect for every face. This article overviews several alloplastic implants--their advantages, disadvantages, and complications, in addition to the different techniques of preparing and delivering the implants.

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“…It is contraindicated for cosmetic lip augmentation, tem-poromandibular joint reconstruction, cardiovascular defects, and dermal placement. [45][46][47] In the present study, the most common complication encountered possibly related to sling placement was seroma formation found in 10% of the patients. This was amenable to aspiration in all cases, although 2 patients required serial aspiration for more than 2 weeks.…”

Section: Commentmentioning

confidence: 78%

Improving Surgery on the Aging Neck With an Adjustable Expanded Polytetrafluoroethylene Cervical Sling

Prabhat

Dyer

2003

Archives of Facial Plastic Surgery

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To evaluate the ability of the expanded polytetrafluoroethylene (ePTFE) cervical sling to improve results of surgery on the aging neck in the short term as well as its ability to achieve long-term cosmesis through its secondary adjustability. Design: A retrospective analysis. Setting: A private facial plastic surgery practice. Patients: The first 100 consecutive patients who underwent placement of the ePTFE cervical sling with a minimum follow-up of 36 months. Intervention: Placement of a preplatysmal, mastoidto-mastoid, ePTFE cervical sling sutured to the fascia overlying the insertion of the sternocleidomastoid bilaterally in conjunction with a graded surgical approach appropriate for each patient. This included lipoplasty, midline platysmal plication, and rhytidectomy. Outcome Measures: Aesthetic appearance of the neck was evaluated by comparison of preoperative and postoperative photographs at 1 year. Appraisal of secondary adjustability was similarly assessed 1 month after sling tightening. Patient satisfaction was recorded via self-assessment of both procedures for cosmesis and comfort. Complications specific to sling placement and tightening were reviewed. Results: One year after initial surgery, 85 patients had significant or marked improvement. More than 90% of patients felt that the procedure met or exceeded their cosmetic expectations, while 99 patients felt no residual discomfort. Secondary to rebound tissue relaxation, 9 of 100 patients required sling tightening a mean interval of 14 months after primary surgery. All 9 of these had either a significant or marked improvement, with similarly high patient satisfaction in cosmesis (n=9; 100%) and comfort (n=8; 89%). Two patients had postauricular infections necessitating sling removal. There were no complications with sling tightening. Conclusions: Placement of the ePTFE cervical sling is a safe and effective procedure to aesthetically improve short-term surgical results on the aging neck. By virtue of its secondary adjustability, it offers a safe, long-term solution to rebound tissue relaxation and associated submental laxity.

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The Current Status of Expanded Polytetrafluoroethylene (Gore-Tex) in Facial Plastic Surgery

Cited by 23 publications

References 15 publications

Who Is Still Using Expanded Polytetrafluoroethylene?

Who Is Still Using Expanded Polytetrafluoroethylene?

Chin Augmentation

Improving Surgery on the Aging Neck With an Adjustable Expanded Polytetrafluoroethylene Cervical Sling

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