Category: paranasal implants

Assessment of The Bony Nasal Base for Paranasal Augmentation

One of the most aesthetic augmentations in the face due to a natural genetic shape is the midface in Asians. Lack of forward development of the nasal base (pyriform aperture) is common in such patients, and while paranasal augmentation was once reserved for an adjunctive procedure in rhinoplasty, it is now often done as a Read More…

The Aesthetic Projection Created by ePTFE Paranasal Implants

Paranasal deficiency is a common midface aesthetic concern in which the base of the nose lacks sufficient horizontal projection. While it is common phenotypic feature of the Asian face it can occur in any ethnicity or gender. The treatment of paranasal deficiencies has its historic origins as an adjunctive procedure to augmentative rhinoplasty as nasal Read More…

Clinical Outcomes from Combined Rhinoplasty and Paranasal Augmentation in Central Asian Midface Augmentation

Some Asian faces are well known to have a mid facial concavity or lack of forward facial projection. As a result augmentative rhinoplasty is one of the most common facial procedures performed in this ethnic group to increase the height and length of the nose. As part of the underlying facial deficiency and a procedure Read More…

Plastic Surgery Case Study – Autologous Midface Augmentation Using Diced Rib Graft Paranasal Grafts with Fat Injection Overlays

Background: The shape of the face is controlled by many factors including its width and anterior/horizontal projection. When viewed in the middle facial third the facial shape is a function of cheek and maxillary forward growth vs the width of the cheek and zygomatic arches. In certain ethnicities the balance of the forward projection of Read More…

Paranasal Augmentation With Diced Rib Graft Cartilage

The most common site of midface augmentation (minus the nose) is the nasal base. While the nasal base is composed of a concave paranasal and a convex central premaxillary regions, it is the larger and bilateral paranasal concavities that are the most frequently requested for augmentation. Such paranasal augmentations have been done for decades and Read More…

The Influence of Premaxillary and Paranasal Augmentation on the Nose

One of the considerations in any type of premaxillary-paranasal augmentation is what are the effects on the nose, specifically its projection. By definition when the bone is moved forward (LeFort I osteotomy) or bone grafts or implants are placed beneath the nasal base there is going to be a forward push on the nostril base Read More…

Surgical Techniques in ePTFE Paranasal Implants

Augmentation of the central midface generally refers to increasing the projection of the bony pyriform rim. This is the central maxillary bone that surrounds the large nasal cavity opening that lies underneath the external nose. It is most commonly referred to as the paranasal region. Its shape into the surrounding midface has either a flatter Read More…

Surgical Placement of Preformed ePTFE Paranasal-Nasolabial Implants

A concave central midface that lacks projection creates a less than desirable appearance that can give the face a more aged appearance. Flatter midfaces are almost always associated with deeper nasolabial fold area or a premature development of them. Paranasal implants are a proven method to augment the natural concave bony areas around the pyriform Read More…

Plastic Surgery Case Study – Custom Premaxillary-Paranasal Implant Placement Through An Intraoral Frenum-Sparing Incisional Approach

Background: One of the smaller and least recognized areas of facial augmentation is the central nasal region. Reasons for augmenting the base of the nose are for general midface retrusion or flattening but can also be done to improve the nasolabial angle/upper lip projection or to soften deeper nasolabial folds at the alara-facial junction. Premaxillary Read More…

ePTFE Paranasal Augmentation in Asian Rhinoplasty

Paranasal augmentation is a specific form of midface skeletal enhancement that is isolated to the side of the nose. It is anatomically identified externally at the junction of the nose and the face along the alar-facial crease. This is a naturally flat to concave part of the face that can become exaggerated in certain type Read More…