Table 2.
Overview of synthetic polymers related to plastic surgery.
Name | Application Mode | Application Site | Advantages | Disadvantages | Molecular Structure/Formula |
---|---|---|---|---|---|
Organic Polymer Materials | |||||
Silicone [37,38,39,40,41] | Prosthesis | Rhinoplasty, breast enhancement, plumping forehead and lumping buttock | Heat resistance, cold resistance, non-toxicity, biological aging resistance, physiological inertia, little response to human tissues, and good physical and mechanical properties | Strong hydrophobicity, poor antibacterial properties, and aging problems |
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ePTFE [42,43,44,45] | Prosthesis | Ear reconstruction, rhinoplasty | Good biocompatibility, good tensile strength | Non-biodegradable, poor antibacterial properties |
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PMMA [46,47,48,49,50,51] | Injectable liquid | Facial wrinkles, fill in acne scars, correct nipple depressions, highlight chins, and swell cheeks | long-lasting | Bead protrusions, allergic reactions, telangiectasia, and granuloma formation |
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High-density polyethylene [52,53,54,55,56] | Prosthesis | Repair of cheeks, orbital arch, orbital floor, upper and lower jaws, cheekbones, temporal, and ears | Good biocompatibility, rough, convergent, and porous structure | High risk of infection, poor mechanical properties |
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PLA and PLGA [57,58,59,60] | Prosthesis; sutures | Surgical absorbable sutures, bone fixation plates, screws | Good biocompatibility, biodegradability | Rapid biodegradation |
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Ceramic Materials | |||||
Hydroxyapatite [61,62,63,64] | Prosthesis | Substitute for large area bone defects such as oral and maxillofacial regions, substitutes for teeth | Good biocompatibility, biodegradability, low toxicity | High brittleness, low strength, and poor toughness |
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Bioglass materials [65,66] | Prosthesis | Bone repair and regeneration | Good biocompatibility and bone binding ability | Low mechanical strength, high brittleness, poor bending strength, and compressive strength | E.g. 45S5 Bioglass® (developed by L.L. Hench): 45 wt% SiO2, 24.5 wt% CaO, 24.5 wt% Na2O, and 6.0 wt% P2O5. |
ePTFE: Expanded polytetrafluoroethylene; PMMA: Polymethyl methacrylate; PLA: Polylactic acid; PGA: Polyglycolic acid.