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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…

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…

New Paranasal Implant Design for Midface Augmentation

Of all the commercially available facial implants, one of the most obscure and least commonly used is that of the paranasal implant. Augmenting the base of the nose is historically associated with rhinoplasty surgery in an effort to add overall projection to the base of the nose. It was initially seen as a nose augmentation Read More…

Facial Implants for Correction of Midface Deficiency

Implants are very useful for producing three-dimensional facial changes. By extending the outer boundaries of bony prominences, the proportions and shape of the face can be changed dramatically. Implants essentially camouflage facial bony deficiencies or enhance a normal prominence. Traditional and well known facial implants are that of the chin, cheeks, or  nose. Jaw angle Read More…

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