3/27/2023 0 Comments Wraparound jaw implantI had silicone implants and it didn't look natural because silicone basically 'pushes' the soft tissue outwards. Not only the opinion of Bart but the opinion of more surgeons i spoke. They consider it as 'something from the past'. Quote from: ben from UK on March 13, 2019, 03:18:06 PM Less and less surgeons in Europe use silicone. *Example of ruined ogee line, missing 'shadows' and bloated face after silicone implant, see this threads: As facial implants, silicone implants are simply not suited The unnatural look is the reason why lots of patients have their silicone chin implant removed after a few years. The capsule will contract with time and the look becomes more and more unnatural. The implant will always go to the lowest point of the pocket.Īnother disadvantage of the silicone implant is the unnatural look it mostly gives, if not at the beginning then after a few years when the body of the patient reacts by forming a capsule around the facial implants. In all other parts of the face the risk is too high that the pocket is not made exactly where the implant should come and then there is no way for the surgeon to correct this. This is the only place where acceptable esthetic results are achievable with such an implant. This is also the reason why silicon implants are exclusively used in the face for chin augmentation. The silicone would rupture at the position of the screw and the implant would be loose again. It is not possible to fixate silicon implants with screws, because the silicone is too soft for it. A pocket needs to be created that is not bigger than the implant itself because otherwise the implant will not stay in place. Silicone implants are used in the face for chin augmentation. Less and less surgeons in Europe use silicone. Quote from: kavan on March 13, 2019, 01:16:23 PM Are you PROJECTING your own experience having to do with the SHAPE of something where the shape did not suit you and extrapolating that to the MATERIAL itself. What can 'ruin' any curve or angle is either (poor) SHAPE selection or poor FIT of the implant, for example an off the shelf implant that does not fit bone structure snugly. When the material is hard porex, it would need to be CUT UP to place it if the implant to go in were a BROAD BASE implant such as midface that spanned an entire area or a wrap around jaw implant that included the chin. They also mimic BOTH bone structure and soft tissue thereby allowing LARGER augmentations than could be done with hard porex. They allow the surgeon to have 'eyes in his fingers'. Years back at a PS meeting with IMPLANT TECH I tried some out on a skull model and I could feel the fit. They can be squeezed/collapsed to be placed through a small incision and one can FEEL the FIT. Silicone is a fine material to use, especially for CUSTOM implants which are designed to cover LARGE areas in one piece. What ever bad experiences you have personally had were probably due to the SHAPE you got and not the material itself. The ogee 'line' is the CHEEK CURVE when seen from 3/4 view. Are you PROJECTING your own experience having to do with the SHAPE of something where the shape did not suit you and extrapolating that to the MATERIAL itself.
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