The use of synthetic implants to increase skeletal defects of the chin, cheeks and jaw angles are common plastic surgery procedures. Although these are common sites for implants, there are still many implant styles that can be used to improve the face in the hemisphere.
The bones of the middle surface have complex protuberances and concavities from the protuberances of the cheeks to the concave surface of the upper jaw. As a result, there is no implant that can be used for all of them. Today's intermediate implants have nine (9) different styles to meet these complex anatomical needs.
Cheek implants are the most commonly used implant for the face near the chin. There are four different styles. A standard cheek implant, also known as a blunt implant, approaches the upper part of the cheek bone and has a large surface area that covers most of the external bony protrusion. The two styles of this standard cheek implantation are different in that the more advanced version has a part that rises higher to make a smooth transition to the lateral orbital bone. The choice between one style and another depends on how much the cheek is smoothed, and if it extends to the orbital region.
Implant submalar cheek does not coincide with malaria. This is indicated when the soft tissues of the cheeks sag a little with age, and the area under the protrusion of the cheek is slightly recessed. This implant is suitable for the underside of the buccal bone, which helps to raise sagging tissue and fill the sunken space under the cheek. The submalar cheek implant consists of two styles, which differ in how completeness is added to the submarine space.
The lacrimal implant is a specialized implant in the lower orbital rim. It fills a depressed suborbital groove that some people have, or development from aging and tissue atrophy. This groove runs like a chute from the inside of the eye down. Instead of a fatty injection to increase this area, a carefully selected implant with a gap in the slot provides a permanent solution.
The implant of a pear-shaped aperture fits along the bone, which forms the lateral edge of the nasal cavity. It is designed to create the base of the nose under the nostril. I most often used this implant in a secondary cleft surgery to build the defective maxillary bone where the cleft was located. But it is also useful as part of rhinoplasty surgery, when someone has a flat face.
The premaxillary or peri-peririposum implant creates the entire base of the nose from one side of the pear-shaped apartment to the other. This also applies to the anterior nasal spine. For very flat surfaces, this implant can really help improve the nose and upper lip.
Nasolabial or melilabial implants are applied to the bone in the direction of the nose and help to soften or build up a very deep nasolabial fold or groove. Instead of using temporary injection fillers that benefit the skin, this implant, located on the underlying bone, serves to provide the same push.
The Lefort or maxillary implant, the least common for all intermediate implants, is intended for use during or after osteotomy of LeFort I. This implant would be placed above the osteotomy line, so the middle surface would not look more scarce because the maxillary teeth protrude.
All intermediate implants, being very different in shape and indication, have two common features. First, they are all placed from the incision inside the mouth, so no skin incision is ever required. Secondly, they are all best secured in place with a screw, since their position is crucial for obtaining the desired aesthetic result.
