Maxillary Augmentation Rhinoplasty Workup

  • Author: Michael Mercandetti, MD, MBA, FACS; Chief Editor: John R Taylor, MD, FRCSC, FACS   more...
 
Updated: Apr 6, 2010
 

Imaging Studies

  • Cephalograms and CT, including 3-dimensional reconstruction, can be used, if desired, to assess the degree of retrusion.
  • Photographs from frontal and profile view (lateral and obliques if desired) are extremely helpful and are all that is needed to assess the degree of retrusion in most patients.
Proceed to Treatment & Management
 
 
Contributor Information and Disclosures
Author

Michael Mercandetti, MD, MBA, FACS  Consulting Staff, Department of Surgery, Doctors Hospital of Sarasota

Michael Mercandetti, MD, MBA, FACS is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Ophthalmology, American College of Surgeons, American Society for Laser Medicine and Surgery, American Society of Ophthalmic Plastic and Reconstructive Surgery, Association of Military Surgeons of the US, and Sarasota County Medical Society

Disclosure: Nothing to disclose.

Coauthor(s)

Adam J Cohen, MD  Eyelid and Facial Aesthetic and Reconstructive Surgery, Diseases and Surgery of the Orbit and Lacrimal System, Cosmetic Laser Surgery

Adam J Cohen, MD is a member of the following medical societies: American Academy of Ophthalmology, American College of Surgeons, and American Society of Ophthalmic Plastic and Reconstructive Surgery

Disclosure: Nothing to disclose.

Edward W Chang, MD, DDS  Consulting Staff, Department of Cosmetic Services, Head and Neck Surgery, Kaiser Permanente of Northern California at Santa Rosa

Edward W Chang, MD, DDS is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, and California Medical Association

Disclosure: Nothing to disclose.

Edward H Farrior, MD, FACS  Affiliate Associate Professor, Voluntary Faculty, Department of Otolaryngology-Head and Neck Surgery, University of South Florida Health Sciences Center; Visiting Clinical Associate Director, Department of Otolaryngology, University of Virginia

Edward H Farrior, MD, FACS is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, and Florida Medical Association

Disclosure: Nothing to disclose.

Donald R Laub Jr, MD, FACS  Professor, Departments of Surgery and Pediatrics, University of Vermont College of Medicine; Interim Chief of Plastic and Reconstructive Surgery, Fletcher-Allen Health Care

Donald R Laub Jr, MD, FACS is a member of the following medical societies: American Association for Hand Surgery, American Cleft Palate/Craniofacial Association, American College of Surgeons, American Society for Surgery of the Hand, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, AO Foundation, Association for Academic Surgery, Northeastern Society of Plastic Surgeons, and Vermont State Medical Society

Disclosure: Nothing to disclose.

Specialty Editor Board

Frederick J Menick, MD  Chief, Division of Plastic Surgery, St. Joseph's Hospital; Clinical Associate Professor, Department of Surgery, Division of Plastic Surgery, University of Arizona College of Medicine; Facial and Nasal Reconstructive Surgeon, Tucson, Arizona

Frederick J Menick, MD is a member of the following medical societies: American Association of Plastic Surgeons, American Society for Aesthetic Plastic Surgery, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, and Canadian Society of Plastic Surgeons

Disclosure: none None None

Francisco Talavera, PharmD, PhD  Senior Pharmacy Editor, eMedicine

Disclosure: eMedicine Salary Employment

George Peck, Jr, MD  Consulting Staff, Department of Plastic Surgery, St Barnabas Hospital of New Jersey

George Peck, Jr, MD is a member of the following medical societies: American Society for Aesthetic Plastic Surgery

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

John R Taylor, MD, FRCSC, FACS  Independent Practice, Ontario

John R Taylor, MD, FRCSC, FACS is a member of the following medical societies: American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, Canadian Medical Association, and Canadian Society of Plastic Surgeons

Disclosure: Nothing to disclose.

References

  1. Cinelli JA. Correction of combined elongated nose and recessed naso-labial angle. Plast Reconstr Surg. Feb 1958;21(2):139-42. [Medline].

  2. Byrd HS, Hobar PC. Alloplastic nasal and perialar augmentation. Clin Plast Surg. Apr 1996;23(2):315-26. [Medline].

  3. Hinderer UT. Nasal base, maxillary, and infraorbital implants--alloplastic. Clin Plast Surg. Jan 1991;18(1):87-105. [Medline].

  4. 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].

  5. Cook TA, Wang TD, Brownrigg PJ, Quatela VC. Significant premaxillary augmentation. Arch Otolaryngol Head Neck Surg. Oct 1990;116(10):1197-201. [Medline].

  6. 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].

  7. Flowers RS. Augmentation maxilloplasty. In: Terino EO, Flowers RS, eds. The Art of Alloplastic Facial Contouring. Mosby: St Louis; 2000:129-150.

  8. Romo T 3rd, Shapiro AL. Aesthetic reconstruction of the platyrrhine nose. Arch Otolaryngol Head Neck Surg. Aug 1992;118(8):837-41. [Medline].

  9. Brink RR. Premaxillary augmentation. In: Terino EO, Flowers RS, eds. The Art of Alloplastic Facial Contouring. St Louis: Mosby; 2000:119-127.

  10. Tolleth H. Aesthetics and plastic surgery. In: Terino EO, Flowers RS, eds. The Art of Alloplastic Facial Contouring. Mosby: St Louis; 2000:3-11.

  11. Cochran CS, Ducic Y, DeFatta RJ. Restorative rhinoplasty in the aging patient. Laryngoscope. May 2007;117(5):803-7. [Medline].

  12. 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].

  13. Foda HM. Mersiline mesh in premaxillary augmentation. Aesthetic Plast Surg. May-Jun 2005;29(3):169-73. [Medline].

  14. Mathog RH, Leonard M, Bevis R. Surgical correction of maxillary hypoplasia. Arch Otolaryngol. Jul 1979;105(7):399-403. [Medline].

  15. Nassif PS, Kokoska MS. Aesthetic Facial Analysis. Facial Plast Surg Clin of North Am. November 1999;7(1):4.

 
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Skeleton of the head. Superiofrontal view showing maxilla and premaxilla.
View of head skeleton from below showing incisive foramen, palate, and premaxilla.
Front view of Brink peri-pyriform silicone implant from Implantech.
Side view of Brink peri-pyriform silicone implant from Implantech.
Fanous premaxillary silicone implant from Implantech.
 
 
 
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