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Are tear trough implants placed intra-orally safe? Is there a risk of nerve damage?

imalitel0stOct 17, 2022
I noticed there's a big nerve by the nose and I'm wondering if it's at risk of being damaged when an implant is placed through the mouth. I can't visualize in my head how surgeons are able to work their way around it

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. David M. Kowalczyk, MD, MBA, FACS
Board Certified Facial Plastic Surgeon
Answered on Oct 21, 2022
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Jeffrey H. Spiegel, MD

I don't think you need these implants. You could use some volume in your midface, but standard fillers or standard submalar implants could do fine. This implant is more than I would recommend.

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David M. Kowalczyk, MD, MBA, FACS

Hi there! Absolutely, skin plays a role in how the cheekbone, jaw, and chin respond to an implant. The ratio of improvement isn't 1:1 in terms of 1 mm increase in implant equating to 1 mm of increase projection. Thicker, more firm skin tends to restrict movement more than thin skin. Depending on...

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Thomas Spalla, MD

I think you are correct in your assessment. A rhinoplasty to remove the dorsal hump and set your tip back (deproject) slightly would be of benefit. At the same time, cheek (malar) implants would fill in your midface and balance your profile. You have very nice features, so be conservative. You...

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