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Patient Satisfaction With Expanded Polytetrafluoroethylene (Softform) Implants to the Perioral Region
Stephen J. Wall, MD, PhD;
Peter A. Adamson, MD, FRCSC;
Denis Bailey, MD, FRCP;
A. W. Peter van Nostrand, MD, FRCPC
Arch Facial Plast Surg. 2003;5:320-324.
Objective To assess clinical results in patients undergoing implantation of expanded polytetrafluoroethylene (Softform) for perioral enhancement (melolabial fold, melomental fold, upper lip, and lower lip).
Design Fifty patients had undergone Softform implantation by a single surgeon. A retrospective telephone survey (25 questions) was conducted. Of 50 patients, 38 (76%) were contacted. The mean interval between the procedure and survey was 22.7 months (range, 2-40 months). Responses were submitted for statistical analysis. A pathological review was performed on specimens removed from 2 patients.
Results Two patients (4%) developed postoperative infections that resolved with use of oral antibiotics; 5 patients (10%) requested repositioning owing to dissatisfaction with placement; and 5 patients (10%) requested implant removal. Composite scores indicated that patients were "slightly" satisfied with the procedure outcome. Of the 38 patients contacted, 24 (63%) would undergo additional implants and 20 (53%) would recommend the procedure to others. Results were not significantly influenced by site, size, or history of prior augmentation procedures. Histologic review indicated that implants elicit a chronic inflammatory reaction and that blood vessels infiltrate the porous walls of the implant.
Conclusion With proper patient selection, Softform represents a potential option for those individuals considering perioral enhancement.
From Capital Cosmetic Surgery, Washington, DC (Dr Wall); the Department of Otolaryngology, University of Toronto, Toronto, Ontario (Drs Wall and Adamson); Adamson Cosmetic Facial Surgery, Toronto (Dr Adamson); and the Department of Pathology, Toronto General Hospital, Toronto (Drs Bailey and van Nostrand) The authors do not have any commercial or proprietary interest in the Softform product or in its manufacturer.
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