eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Cosmetic Surgery

Malar and Submalar Implants: Follow-up

Author: Stephen Perkins, MD, Associate Clinical Professor, Department of Otolaryngology-Head and Neck Surgery, Meridian Plastic Surgery Center, Indiana University School of Medicine
Coauthor(s): Rami K Batniji, MD, Private Practice, Batniji Facial Plastic Surgery; Maria Chand, MD, Assistant Professor, Department of Otolaryngology-Head and Neck Surgery, Alpine ENT
Contributor Information and Disclosures

Updated: Dec 20, 2006

Outcome and Prognosis

Alloplastic facial augmentation produces permanent and effective 3-dimensional changes that result in a more youthful-appearing midface. Silastic implants have demonstrated consistent results and remain the implant of choice for the senior author. In 2003, a prospective multicenter study was conducted to evaluate the safety and efficacy of subcutaneous augmentation material (SAM) preformed facial implants for malar augmentation. One implant became infected and required removal. The infection rate (3.8%) was consistent with that previously reported in the literature. No implant migration was reported. The aesthetic results of the implants were evaluated by a panel of facial plastic surgeons and demonstrated a satisfactory-to-good aesthetic result. Results from studies that evaluated the efficacy and safety of ePTFE in the malar region have demonstrated similar results. Yaremchuk performed a retrospective study of malar augmentation with porous polyethylene (Medpor); his long-term results demonstrated no

evidence of late complications.

Malar and submalar augmentation with alloplastic implants can be used to enhance and restore facial harmony and balance. Defects that have developed as a result of aging or trauma as well as congenital defects may be addressed. Strong skeletal contours enhance beauty. Redraping, reshaping, and redistributing the soft tissue over a strong facial skeleton enhance restoration and rejuvenation of the face. Successful malar and submalar augmentation results from proper patient and implant selection as well as appropriate facial analysis and surgical technique. Alloplastic facial augmentation produces reliable, durable, predictable results with little morbidity and high patient satisfaction.

 


More on Malar and Submalar Implants

Overview: Malar and Submalar Implants
Treatment: Malar and Submalar Implants
Follow-up: Malar and Submalar Implants
References
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References

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Further Reading

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Keywords

malar and submalar implants, midfacial contouring, facial augmentation, malarplasty, malar augmentation, submalar augmentation, rhytidectomy, rhinoplasty surgery, silastic implants, facial contour, craniofacial reconstruction, malar deficiency, submalar deficiency, malar eminence, malar mound, malar defect, submalar defect, malar-submalar implant, malar-submalar augmentation, malar implants

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Contributor Information and Disclosures

Author

Stephen Perkins, MD, Associate Clinical Professor, Department of Otolaryngology-Head and Neck Surgery, Meridian Plastic Surgery Center, Indiana University School of Medicine
Stephen Perkins, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, and Indiana State Medical Association
Disclosure: Nothing to disclose.

Coauthor(s)

Rami K Batniji, MD, Private Practice, Batniji Facial Plastic Surgery
Rami K Batniji, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American Medical Association, American Rhinologic Society, California Medical Association, and Triological Society
Disclosure: Nothing to disclose.

Maria Chand, MD, Assistant Professor, Department of Otolaryngology-Head and Neck Surgery, Alpine ENT
Maria Chand, MD 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 Indiana State Medical Association
Disclosure: Nothing to disclose.

Medical Editor

Paul S Nassif, MD, Clinical Assistant Professor, Department of Otolaryngology-Head and Neck Surgery, University of Southern California at Los Angeles, University of California at Los Angeles School of Medicine
Paul S Nassif, MD is a member of the following medical societies: Alpha Omega Alpha, 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.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

David W Stepnick, MD, Associate Professor, Departments of Plastic Surgery and Otolaryngology-Head and Neck Surgery, Case Western Reserve University School of Medicine; Vice President, University Otolaryngology-Head and Neck Surgery, Inc
David W Stepnick, MD 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, American Society for Head and Neck Surgery, and Society of University Otolaryngologists-Head and Neck Surgeons
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: UST Grant/research funds Consulting

 
 
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