Skip to main content
Log in

Subperiosteal versus epiperiosteal forehead augmentation with hydroxylapatite for aesthetic facial contouring: Experimental animal investigation and clinical application

  • Published:
Aesthetic Plastic Surgery Aims and scope Submit manuscript

Abstract

The difference between periosteal and subperiosteal application of hydroxylapatite (HA) in aesthetic forehead augmentation in the subimplant bed was investigated in six adult Göttingen minipigs. These results were then transferred to clinical application. One exemplary case is described. We found that epiperiosteal augmentation with hydroxylapatite should be performed only if shape and location are stable. Subperiosteal augmentation with hydroxylapatite must be judged critically since HA particles migrate into the subimplant bone.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Allgöwer M, Perren S, Rüedi TH: Biophysikalische Aspekte der normalen und der heilenden Knochenkortikalis. Langenbecks Arch Klin Chir328:109, 1971

    Google Scholar 

  2. Donath K: Die Trenn-Dünnschliff-Technik. Ed.: Exakt-Kulzer-Druckschift. Nordstedt. 1:1988

  3. Hammon WM, Kempe LG: Methyl methacrylate cranioplasty: 13-year experience with 417 patients. Acta Neurochir.25:69, 1971

    Google Scholar 

  4. Honig JF, Holtje WJ: Untersuchungen sur freien fettautotransplantation in der plastischen und rekonstruktiven chirurgie. Akt Ernährungs Med16:182, 1991

    Google Scholar 

  5. Horwitz T: Biological and physiological principles governing evolution of human bone transplants. Bull Hosp Joint Dis12:314, 1951

    Google Scholar 

  6. Osborn JF: Implantatwerkstoff Hydroxylapatitkeramik. Grundlagen und klinische Anwendung. Berlin. Quintessenz, 1985

    Google Scholar 

  7. Pauwels F: Gesammelte Abhandlungen zur funktionellen Anatomie des Bewegungsapparates. Berlin: Springer, 1965

    Google Scholar 

  8. Roux W: In: Engelmann W (ed): Gesammelte Abhandlungen über Entwicklungsmechanik der Organismen. Bd. I u. II. Leipzig, 1895

  9. Wolff J: Das Gesetz der Transformation der Knochen. Berlin: Hirschwald, 1892

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hönig, JF., Merten, HA. Subperiosteal versus epiperiosteal forehead augmentation with hydroxylapatite for aesthetic facial contouring: Experimental animal investigation and clinical application. Aesth. Plast. Surg. 17, 93–98 (1993). https://doi.org/10.1007/BF02274727

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02274727

Key words

Navigation