Hello and thank you for your question. Piriform aperture implants should not interfere with placement of midface implants as long as the piriform aperture implants are in the appropriate anatomical location. I recommend medpor implants with screw fixation. Silicone implants in the midface tend to undergo malrotation over time. The most important aspect is
to find a surgeon you are comfortable with. I recommend that you seek consultation
with a qualified board-certified plastic surgeon who can evaluate you in
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon
The pocket location of paranasal and nasal implants are very different so they will not connect or communicate. Thus what happens to one will not affect the other.
I think that most surgeons are now tending to inject fat rather than having facial implants placed...