Malar and Submalar Alloplastic Implants Workup

  • Author: Gregory D Pearson, MD; Chief Editor: Al Aly, MD, FACS   more...
 
Updated: Feb 2, 2012
 

Laboratory Studies

The choice of laboratory studies depends upon the medical history of the patient. Routine presurgical labs may include CBC counts, electrolytes, and prothrombin time (PT)/activated partial thromboplastin time (aPTT).

CBC counts may be indicated for a patient with a history of anemia or infection. Electrolyte levels may be indicated for a person taking diuretics. A glycosylated hemoglobin A1C (HbA1C) level to determine glycemic control should be obtained in patients with diabetes mellitus to determine potential wound healing issues. Patients with a bleeding disorder or who are taking warfarin should have their coagulation profile (PT, international normalized ratio [INR], aPTT) checked.

Nutritional labs including albumin, prealbumin, and transferrin levels should be considered if bariatric surgery as been performed or if malnourishment is considered.

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Imaging Studies

For complex traumatic or congenital deformities, a CT scan with 3-dimensional modeling can be extremely useful for preoperative planning. Medical models can be generated, allowing the creation of custom-made implants, in particular cases.

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Contributor Information and Disclosures
Author

Gregory D Pearson, MD  Assistant Professor Clinical, Department of Surgery, Division of Plastic Surgery, Ohio State University

Disclosure: Nothing to disclose.

Specialty Editor Board

Gregory Caputy, MD, PhD, FICS  Chief Surgeon, Aesthetica Plastic and Laser Surgery Center, Inc

Gregory Caputy, MD, PhD, FICS is a member of the following medical societies: American Society for Laser Medicine and Surgery, Canadian Medical Association, International College of Surgeons, International College of Surgeons US Section, Pan-Pacific Surgical Association, and Wound Healing Society

Disclosure: Syneron Corporation Salary Speaking and teaching

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

Edward Owen Terino, MD  Director, Department of Plastic Surgery, Los Robles Medical Center

Edward Owen Terino, MD is a member of the following medical societies: American College of Surgeons, American Society for Aesthetic Plastic Surgery, and International College of Surgeons

Disclosure: Nothing to disclose.

Nicolas (Nick) G Slenkovich, MD  Director, Colorado Plastic Surgery Center

Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and Colorado Medical Society

Disclosure: Nothing to disclose.

Chief Editor

Al Aly, MD, FACS  Clinical Professor of Plastic Surgery, University of California, Irvine, School of Medicine

Disclosure: Ethicon Consulting fee Consulting; QMP Royalty Book royalty; Insorb Stapler Consulting fee Consulting; Insorb Stapler Ownership interest None; Angiotech Consulting fee None

Additional Contributors

The authors and editors of eMedicine gratefully acknowledge the contributions of previous author Julia MacRae, MD, to the development and writing of this article.

References

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Frontal view of patient before and after insertion of malar implants.
Side view of patient before and after insertion of malar implants.
Infraorbital nerve.
 
 
 
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