Facial skeletal augmentation is one of many
techniques used to enhance facial aesthetics. It is especially useful in the
genial, mandibular angle, and malar areas. Correction of facial contour
deformities is a challenge-posing task for reconstructive surgeons.The creation
of medical implants provides the plastic surgeon with several advantages in
correcting lateral or unilateral deformities with the use of an implant that
duplicates the facial skeleton.
These implants adapt to sharp curvatures and
bony abnormalities that may be present. This is particularly advantageous in
posttraumatic facial contour abnormalities, in which the custom implants fit
into irregular defects and the edges of the implants blend into the facial
anatomy and are not visible or palpable. Jaw
The plastic corrective jaw surgery
repositions the misaligned jaw and this improves facial appearance. With the
help of facial plastic surgery we can achieve the best possible appearance with
the use of injectable materials (permanent or not) or with the use of medical
This process is done by using injectable
filling materials (fillers), which are injected under the skin of the nose, by
changing its shape. The injection of hyaluronic acid or other medical fillers
takes place in the medical office of the plastic surgeon and is a fairly short
and easy process. The result may be temporary-permanent or reversible. The
plastic surgeon, if it is desired, can bring the nose to its original
condition. Of course, there are no incisions and scars on nose. The procedure
is performed under local anesthesia and may be progressive.
Contour abnormalities occur from aging
congenital deformities, traumatic injuries, disease, and also previous surgery.
During the aging process, repositioning and loss of subcutaneous fat can cause
the loss of malar contour. A flat malar area can give the face an aged
appearance. Strong cheekbones tend to give the face a fresh youthful look. The
malar region should be round and full. Maxillary retrusion occurs often in
combination with a congenitally deficient malar area
Although many of these patients have
congenital deformities related to mandibular retrognathia, contour deformities
can also occur from previous surgery, traumatic injuries, or disease. The
morphology of the genial area is highly variable in all 3 planes of space:
anteroposterior, vertical, and transverse.
The most important aesthetic criteria are
the anteroposterior relationship of the chin to the lower lip and the vertical
ratio of the lower lip to the upper lip with the lips in repose.
important to consider the patient’s concerns and expected outcome when planning