eMedicine Specialties > Plastic Surgery > Nose
Rhinoplasty, Maxillary Augmentation: Follow-up
Updated: Apr 2, 2008
Outcome and Prognosis
Most of the implant material is nonautogenous in nature. Silicone is relatively inert and has a long history of being well tolerated by the body. Infection can occur with any implanted material in the body. If this were to occur with the silicone implant, it would necessitate removal.
Slippage of the implant can also occur if the pocket is too large. Autogenous material such as cartilage is seldom used in this area. The increased effort to harvest this material and shave it is not often warranted. Septal cartilage can be fashioned into a maxillary onlay graft but "results in the long run may be less predictable than alloplastic correction.”7
The patient and surgeon ultimately decide which implant material to use.
Future and Controversies
Newer imaging capabilities allowing for more readily available customizable implant creation will become more prevalent. This technology, coupled with newer implant materials, will lead to less traumatic surgical techniques and elevated patient and physician satisfaction levels.
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References
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Byrd HS, Hobar PC. Alloplastic nasal and perialar augmentation. Clin Plast Surg. Apr 1996;23(2):315-26. [Medline].
Hinderer UT. Nasal base, maxillary, and infraorbital implants--alloplastic. Clin Plast Surg. Jan 1991;18(1):87-105. [Medline].
Watanabe T, Matsuo K. Augmentation with cartilage grafts around the pyriform aperture to improve the midface and profile in binder's syndrome. Ann Plast Surg. Feb 1996;36(2):206-11. [Medline].
Cook TA, Wang TD, Brownrigg PJ, Quatela VC. Significant premaxillary augmentation. Arch Otolaryngol Head Neck Surg. Oct 1990;116(10):1197-201. [Medline].
Converse JM, Horowitz SL, Valauri AJ, Montandon D. The treatment of nasomaxillary hypoplasia. A new pyramidal naso-orbital mazillary osteotomy. Plast Reconstr Surg. Jun 1970;45(6):527-35. [Medline].
Flowers RS. Augmentation maxilloplasty. In: Terino EO, Flowers RS, eds. The Art of Alloplastic Facial Contouring. Mosby: St Louis; 2000:129-150.
Romo T 3rd, Shapiro AL. Aesthetic reconstruction of the platyrrhine nose. Arch Otolaryngol Head Neck Surg. Aug 1992;118(8):837-41. [Medline].
Brink RR. Premaxillary augmentation. In: Terino EO, Flowers RS, eds. The Art of Alloplastic Facial Contouring. St Louis: Mosby; 2000:119-127.
Tolleth H. Aesthetics and plastic surgery. In: Terino EO, Flowers RS, eds. The Art of Alloplastic Facial Contouring. Mosby: St Louis; 2000:3-11.
Fanous N, Yoskovitch A. Premaxillary augmentation for central maxillary recession: an adjunct to rhinoplasty. Facial Plast Surg Clin North Am. Nov 2002;10(4):415-22. [Medline].
Foda HM. Mersiline mesh in premaxillary augmentation. Aesthetic Plast Surg. May-Jun 2005;29(3):169-73. [Medline].
Mathog RH, Leonard M, Bevis R. Surgical correction of maxillary hypoplasia. Arch Otolaryngol. Jul 1979;105(7):399-403. [Medline].
Nassif PS, Kokoska MS. Aesthetic Facial Analysis. Facial Plast Surg Clin of North Am. November 1999;7(1):4.
Further Reading
Keywords
maxillary augmentation, premaxillary augmentation, maxillary retrusion, maxillary hypoplasia, craniofacial anomalies, Apert syndrome, Crouzon syndrome, rhinoplasty, midfacial retrusion, midface retrusion, lower jaw, prognathic, prognathic profile, columella-labial angle correction, maxillary bone, underdeveloped maxilla, maxilla, maxilla development, maxilla correction, intranasal approach, intraoral approach
Follow-up: Rhinoplasty, Maxillary Augmentation