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Techniques in Medpor Facial Implant Removals

Chin implants are the most common facial bone augmentation procedure. The vast majority are done using silicone materials which makes for easier introduction as well as uncomplicated and expeditious adjustments/removals. But other chin implant materials exist of which the most frequently used is that of porous polyethylene, also known as Medpor. By virtue of its Read More…

Concepts in Paranasal Implants in Aesthetic Facial Augmentation

Augmentation of the central midface refers to building out the skeletal margins that surround the pyriform aperture. While such augmentation can be done by injectable fillers and fat as well as implants, the most assured outcomes come from placing a permanent material on the bone. Such materials around this area have been given various names Read More…

OR Snapshots – The Lateral Orbital Rim Implant

Augmentation of the bones of the face can be done for a wide variety of aesthetic purposes. This serves as the foundation for the most common sites for implant placement of the chin, cheeks, jaw angles, nose and infraorbital rims. But just because a performed implant does not exist for other facial sites does not Read More…

Medpor Facial Implant Removal Surgery

There are two basic biomaterials used today in facial implants. Solid silicone is the most commonly used as it is easier to manufacture, is available in the most diverse number of implant styles and sizes and can be more easily inserted through smaller incisions. Medpor or porous polyethylene is the other material and its one Read More…

Paranasal-Premaxillary Implant Design and Intraoperative Fabrication

  While numerous types of implants exist for many areas of the face, the central midface has only ever had one implant style. The well known although infrequently used Peri-Pyriform implant, as the name indicates, provides an augmentation around the base of the nose. This anatomically is known as the pyriform aperture which serves as Read More…

OR Snapshots – ePTFE Premaxillary-Paranasal Implant Design

Increasing the projection of the central midface at the base of the nose and upper lip involves augmenting the bony perimeter of the pyriform aperture. This anterior bony opening in the maxilla leads into the nose. At its more narrow end superiorly are the nasal bones. At its larger lower end the bone curves down Read More…

The Three Types of Infraorbital Rim Implants

The undereye area has become a focus of aesthetic attention for the management of tear troughs and hollows. Some of these occur as a result of aging and others have a more congenital origin which then becomes more apparent with aging. Treatment for aesthetic under eye issues is fundamentally about adding volume. Injectable fillers and Read More…

ePTFE-Coated Silicone Nasal Implants for Augmentation Rhinoplasty

ePTFE (expanded polytetrafluoroethylene) offers a facial implant material that is very biocompatible and also induces some tissue adherence. Due to the microfibrillar nature of its surface, ePTFE has some surface porosity where fibroblasts can attach and induce collagen attachments. ePTFE, however, does not come in any solid preformed facial implants and they have to be Read More…

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