INTRAOPERATIVE CUSTOM CONTOURING OF THE MANDIBLE

Objective: The purpose of this study was to apply a quantitative appro ach to augmentation mentoplasty with Silastic implants to achieve cons istently accurate results. A Silastic extension wafer was introduced f or custom contouring implants as part of this technique. Design: Case series. Setting: Private practice. Patients: One hundred patients unde rgoing elective facial cosmetic surgery. For the main outcome measure, ideal profile augmentation was defined as projecting the most anterio r point of the patient's chin on profile to within 2 mm of a vertical line dropped from the lower lip. Results: Using a quantitative approac h, 98 of 100 patients were able to achieve ideal profile augmentation. Conclusions: A quantitative approach to augmentation mentoplasty can provide consistently accurate results. Easy intraoperative customizati on of Silastic implants is necessary for this type of technique. A Sil astic extension wafer is an effective method for intraoperative custom ization of implants.