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Ch. 9 - Advanta Expanded Polytetrafluoroethylene Implants

Published online by Cambridge University Press:  26 February 2010

Neil S. Sadick
Affiliation:
Cornell University, New York
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Summary

INTRODUCTION

The skin's natural aging process manifests itself in the form of contour changes, wrinkles, the depletion of subcutaneous fat, and the loss of dermal collagen and elastin. Today's patients are seeking skin rejuvenation to achieve a natural and youthful appearance through minimally invasive procedures with no downtime. Thinning of the lips and deepening of the nasolabial folds and marionette lines are common manifestations of the aging process. Despite multiple treatment modalities and advances in cosmetic surgery, long-lasting, natural-looking augmentation in these areas continues to present a challenge. Available since January 1, 2001, Advanta expanded polytetrafluoroethylene (ePTFE) implants (Ocean Breeze Surgical, Amherst, NH) have been used successfully for augmentation of thinning lips, deep nasolabial folds, and marionette lines without the risk, recovery time, and expense of major surgery.

DESCRIPTION OF THE ADVANTA ePTFE IMPLANT

Advanta ePTFE implants are an expanded porous polytetrafluoroethylene material with a unique dual- porosity structure. ePTFE is a stable polymer of carbon atoms with a coating of fluorine atoms. The unique dual-porosity structure has a soft high-porosity 100-μm central core surrounded by a smooth, medium-porosity 40-μm outer core. This unique dual-porosity concept promotes tissue integration, vascular ingrowth, and stability. This is critical in preventing migration and reducing shrinkage. The dual-porosity structure is also responsible for a soft feel giving it natural-looking results.

Advanta ePTFE implants are available in sheets and geometrical shapes with and without reinforcement. The implants are either round or oval (Figure 9.1).

Type
Chapter
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Publisher: Cambridge University Press
Print publication year: 2010

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References

Hanke, CW. A new ePTFE soft tissue implant for natural-looking augmentation of lips and wrinkles. Dermatol Surg 2002; 28:901–8.Google ScholarPubMed
Fezza, JP. Advanta implants. Facial Plast Surg 2004; 20(2):185–9.CrossRefGoogle ScholarPubMed
Truswell, WH. Dual-porosity expanded polytetrafluoroethylene soft tissue implant. Arch Facial Plast Surg 2002; 4(2):92–7.CrossRefGoogle ScholarPubMed
,Atrium Medical Corporation, Hudson, NH. Advanta PTFE facial implants package insert. 2001.
Niamtu, J. Advanta ePTFE facial implants in cosmetic facial surgery. J Oral Maxillofac Surg 2006; 64:543–9.CrossRefGoogle ScholarPubMed
Niamtu, J. Who is still using lip implants?Dermatol Surg 2006; 32(10):1302–4.Google ScholarPubMed
Sclafani, AP, Thomas, JR, Cox, AJ, Cooper, MH. Clinical and histologic response of subcutaneous expanded polytetrafluoroethylene (Gore-Tex) and porous high density polyethylene (Medpor) implants to acute and early infection. Arch Otolaryngol Head Neck Surg 1997; 123:329–36.CrossRefGoogle ScholarPubMed
Panossian, A, Garner, WL. Polytetrafluoroethylene facial implants: 15 years later. Plast Reconstr Surg 2004; 113(1):347–9.CrossRefGoogle ScholarPubMed
Brody, HJ. Complications of expanded polytetrafluoroethylene (ePTFE) facial implant. Dermatol Surg 2001; 27:792–4.Google Scholar
Cox, SE. Who is still using expanded polytetrafluoroethylene?Dermatol Surg 2005; 31:1613–5.CrossRefGoogle ScholarPubMed
Verret, DJ, Leach, JL, Gilmore, J. Dual-porosity expanded polytetrafluoroethylene implants for lip, nasolabial groove, and melolabial groove augmentation. Arch Facial Plast Surg 2006; 8:423–5.CrossRefGoogle ScholarPubMed
Rudolph, CM, Mullegger, RR, Schuller-Petrovic, S, Kerl, H, Soyer, P. Unusual herpes simplex virus infection mimicking foreign body reaction after cosmetic lip augmentation with expanded polytetrafluoroethylene threads. Dermatol Surg 2003; 29: 195–7.Google ScholarPubMed

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