Facial Porous Polyethylene Implants

There is an increasing demand for well-sculpted facial features, either for cosmetic reasons or to recontour deformities—congenital, posttraumatic, and postablative. Among other alloplastic materials, porous polyethylene facial implants (PPFI) are considered the best alloplastic implants available for correcting facial skeletal insufficiencies and abnormalities. PPFI promote a rapid tissue ingrowth into the implant, which, in turn, minimizes capsule formation, anchors the implant, and maintains the local host immune response. The aim of this chapter is to present preoperative evaluation, indications, surgical techniques, and complications of the use of PPFI in facial augmentation.