Recently had a consultation with Dr Defrancq to discuss genio+peek
• Very straightforward demeanor (will accommodate your aesthetic desires but likes to be realistic & measured in terms of mm's/advancements)
• Took time to answer all of my questions (which were quite comprehensive)
• He was comfortable discussing how many cases he has performed and of those, the number of infections that transpired (low complication to operation ratio) as well as what measures were taken to eradicate infection.
Note: of those patients who did have an infection, removal was not necessary: all patients were extricated from infection and implants preserved.
• Discussed prevention protocols for infection pre & post op etc...
• Discussed PEEK comparatively to other implant materials, mainly Titanium and Silicone.
• Discussed the customization process of PEEK, and talked numbers in-terms of horizontal and vertical increase possibilities.
• Discussed genioplasty technique and movement numbers.
Overall, I enjoyed our discussion, liked his personality and thought it worth the price of admission (which was quite reasonable considering mode of communication).
However, I'm slightly trepidatious regarding his genioplasty technique and would greatly appreciate any insight from Kavan (if you have the time, I know you're busy). He mentioned that he degloves the chin: he explained that he does this because it prevents or lessens the chance of muscle, nerve and tissue damage. That sounds good in theory but from what I understand, the chin shouldn't be degloved because there's a high possibility that the mentalis muscles won't be reattached properly which can cause a host of not only aesthetic but also functional issues.
What are your thoughts?
