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ePTFE-Coated Implant System for Ear Reconstruction

The natural ear is a complex structure consisting of various convexities and concavities. The convexities are the outer helical rim and the Y-shaped superior and inferior crus and antoihelix. The concavities are the large inner most concha around the external auditory canal and the triangular and scaphoid fossas. While the functional significance of these combined Read More…

A New Off-The-Shelf Implant for Aesthetic Forehead Augmentation

While there are a large number of  implants available for aesthetic augmentation of the middle and lower face, the upper third of the face (forehead) has remained devoid of any such off the shelf option. Forehead bone augmentation have up to the present time only been available using injection materials,  bone cements or a custom Read More…

Types and Indications of Infraorbital Rim Implants

Common aesthetic deformities of the lower eyelid include tear troughs, undereye hollows and orbitomalat grooves. While these all occur from age-related periorbital changes due to soft tissue atrophy and tissue laxity, when they are seen in young patients they are more likely a function of a bony deficiency. Specifically an infraorbital-malar deficiency the extent of Read More…

3D Assessment of Chin Implant Imprinting and Bone Overgrowth

I have previously dispelled the biologic misconception that facial implants of any material composition result in bone erosion. Improved biologic understanding through observations of indwelling facial implants using 3D CT scans show that the correct interpretation is implant imprinting of the bone. This occurs by the introduction of an implant into established biologic tissue boundaries Read More…

Contemporary Understanding of Facial Implant Bone Imprinting By 3D CT Scans

One of the most common misconceptions about facial implants is that they cause bone erosion. Most of this perception comes from the appearance of the bone in profile in chin implants on lateral cephalometric x-rays going back many decades. Other perceptions of this phenomenon are from surgeon’s observation during chin implant removal and/or replacement where Read More…

The ePTFE Paranasal Implant for Deeper Nasolabial Folds

Central midface augmentation refers to varying amounts of pyriform aperture implant coverages. The most common area is the paranasal region which lies under the base of the nostrils. This maxillary region has a slightly concave surface contour as a defined rim of bone around the nasal cavity. It is typically treated as a skeletal deformity Read More…

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