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Aesthetic Plastic Surgery

, Volume 14, Issue 1, pp 281–285 | Cite as

Aesthetic improvement of the forehead utilizing methylmethacrylate onlay implants

  • Douglas K. Ousterhout
  • Ian M. Zlotolow
Article

Abstract

Forehead augmentation occasionally is necessary for obtaining a desirable upper facial contour. The final contour must be sexually appropriate and must project beyond the cornea of the eyes an amount that makes the contour aesthetically pleasing. Methylmethacrylate onlay implants, preformed or sculpted at the time of surgery, lend themselves to obtaining a desirable contour which can be modified easily at surgery, which is completed in a one-stage procedure, has few complications, and yields an aesthetically pleasing result. The methods for fabricating and implanting the onlay prosthesis in a single step and the results of such procedures, which have been performed over a 12-year period without complications, are presented.

Key words

Forehead augmentation Methylmethacrylate Implant Computer designed 

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References

  1. 1.
    David DJ, Cooter RD: Craniofacial infection in 10 years of transcranial surgery. Plast Reconstr Surg80:213–223, 1987Google Scholar
  2. 2.
    Gonzalez-Ulloa M, Stevens E: Implants in the face. Plast Reconstr Surg33:532–542, 1964Google Scholar
  3. 3.
    Kulkarni RK, Bartek D, Ousterhout DK, Leonard F: Determination of residual ethylene oxide in catheters by gas-liquid chromatography. J Biomed Mater Res2:165–171, 1968Google Scholar
  4. 4.
    Ousterhout DK: Aesthetic contouring of the craniofacial skeleton. In Marsh J (ed). Current Therapy in Plastic and Reconstructive Surgery. Toronto: BK Decker, 1989Google Scholar
  5. 5.
    Ousterhout DK: Feminization of the forehead, contour changing to improve female aesthetics. Plast Reconstr Surg79:701–711, 1987Google Scholar
  6. 6.
    Ousterhout DK, Baker S, Zlotolow IM: Methylmethacrylate onlay implants in the treatment of forehead deformities secondary to craniosynostosis. J Maxillofac Surg8:228–233, 1980Google Scholar
  7. 7.
    Vistnes L: Stanford University. August 12, 1987Google Scholar
  8. 8.
    Whitaker LA, Morales L, Farkas LG: Aesthetic surgery of the supraorbital ridge and forehead structures. Plast Reconstr Surg78:23–32, 1986Google Scholar
  9. 9.
    White JC: Late complications following cranioplasty with alloplastic plates. Ann Surg128:743–755, 1948Google Scholar
  10. 10.
    Woolf JI, Walker AE: Cranioplasty: collective review. Int Abstr Surg81:1, 1945Google Scholar
  11. 11.
    Zlotolow IM, Ousterhout DK: Methylmethacrylate onlay implants in the treatment of forehead deformities utilizing a 3D graphic computer-aided-designed/computer-aided-machined (CAD-CAM) system (submitted for publication)Google Scholar

Copyright information

© Springer-Verlag 1990

Authors and Affiliations

  • Douglas K. Ousterhout
    • 1
  • Ian M. Zlotolow
    • 1
  1. 1.Davies Medical CenterSan FranciscoUSA

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