I am interested in getting an implant that goes in between my nose and mouth to rebuild this concaved area due to bone loss. Will putting an implant in this area help lift sunken cheeks also? Would fillers also be required to blend this type of implant?
Paranasal Implants to Help with Bone Loss?
Doctor Answers (7)
Implants or Bone May Be Necessary To Fill The Face
Unfortunately without an examination and determination of exactly what is missing, I think indicating what might be appropriate to address your problem is a bit premature. Implants can cause bone erosion in the long term and if there was bone loss for some reason, replacing that bone or advancing the maxilla may be more appropriate.
Paranasal Implants Not A Good Option For Midface Deficiency with Maxillary Alveolar Atrophy and Tooth Loss
When you refer to bone loss between the mouth and the nose, I would have to assume that this may be due to maxillary or upper jaw bone resorption due to loss of the teeth. While paranasal implants would normally be a good option to build up the base of the nose, that may not be possible with maxillary bone loss. The height of the maxillary alveolus may be too low that it will not allow enough tissue space between a paranasal implant and the depth of the maxillary vestibule. At the least if one wears an upper denture, the flange of the denture may interfere with where the paranasal implant needs to be placed. If this is true, one needs to consider a bone graft instead. Otherwise, a paranasal implant does not affect the cheek area. That requires a separate and different type of facial implant. In either case, injectable fillers are not a good treatment option for any form of significant midface deficiency.
Web reference: http://www.eppleyplasticsurgery.com/facial.html
Not a good option
If you have bone loss problem, placing an implant over that area can cause more bone ersion and loss. A better option is to restore the lost bone by bone grafting
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Facial implants for para-nasal contouring
Para-nasal implants have been used to add volume and improve contour in the region between the mouth and nose. This has been done for patients with maxillary retrusion related to cleft lip deformities and patients with Binder's syndrome. Implants can be bone (rib or skull bone) or other implantable materials. Seek out a board certified plastic surgeon with expertise in this area for an expert opinion.
Web reference: http://www.seattleface.com
Paranasal implants will help with bone loss
Paranasal implants would certainly enhance the concaved area between your mouth and nose. Implants can be bone or a bone substitute (hydroxapatite) that coats an implantable material. The cheeks are usually unaffected. There are several solutions for the cheeks including a cheek lift, fillers and implants. It is best to visit with a couple of plastic surgeons to get some opinions on your situation.
Paranasal facial implants
A paranasal implant will not traditionally cause the cheeks to be lifted. Fillers may be useul t o add additional volume as well as to assist in blending the transition.
Paranasal implants to help with bone loss?
The implants you are referring to were designed to help with midface deficiency or atrophy. They will correct the deep lines at the sides of the nose .
You can read more about them at -http://www.porexsurgical.com/english/surgical/sprodparanasalshapes.asp
Peter a Aldea, MD
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