title: Patient satisfaction with expanded polytetrafluoroethylene (Softform) implants to the perioral region.
abstract: 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).
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  With proper patient selection, Softform represents a potential option for those individuals considering perioral enhancement.
authors.affiliation: Capital Cosmetic Surgery, Washington, DC, USA.
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Wall
authors.forename: Peter A
authors.initials: PA
authors.lastname: Adamson
authors.forename: Denis
authors.initials: D
authors.lastname: Bailey
authors.forename: A W Peter
authors.initials: AW
authors.lastname: van Nostrand
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009055:Mouth / Q000601:surgery*; D017060:Patient Satisfaction; D011138:Polytetrafluoroethylene / Q000627:therapeutic use*; D019736:Prostheses and Implants; D019651:Plastic Surgery Procedures / Q000295:instrumentation*; D012189:Retrospective Studies
chemical_list: D011138:Polytetrafluoroethylene