Michael Morrissette, DDS, FACS: No financial relationships to disclose
The placement of cosmetic facial implants beyond the usual areas of cheeks and chins has been increasing significantly in the past five years. Implants are now being placed along all areas of the facial skeleton. In the temporal region, implants are placed to diminish temporal hollowing. Mandibular angle implants are placed to increase mandibular angle definition and improve contour irregularities following orthognathic surgery. Orbital or tear trough deformities can be improved with orbital implants. Nasal and subnasal implants are being used to change the size and projection of the nose. This presentation will review the anatomical approaches and techniques that are used to place cosmetic facial implants. These surgical techniques will be shown along with a step-by-step guide to both placement and diagnosis. Though there are multiple standard sizes and shapes to choose from, virtual surgical planning can enable the fabrication of custom implants for each patient. In some cases, the placement of facial implants can reduce the effects of aging. In the majority of cases, there is an improvement of facial balance.
Learning Objectives:
At the conclusion of this presentation, participants should be able to:
Recognize that additional areas of the face other than chin and cheeks may benefit from the placement of facial implants in order to achieve facial balance.
Identify and evaluate that temporal, orbital, nasal and mandibular angles may be additional areas to consider for correction of congenital facial deformities or antiaging strategies.
Describe the anatomy and surgical techniques to place most facial implants.