Malar Augmentation

Metzinger, Stephen E.; McCollough, E. Gaylon; Campbell, Jeffrey P.; Rousso, Daniel E.

doi:10.1001/archotol.125.9.980

Cited by 46 publications

(6 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We documented that this operation is safe, has a limited complication rate, and provides satisfactory and durable results in most patients. Based on our experience, we suggest that the application of implants can greatly improve the aesthetic result with a small amount of effort, 27,[34][35][36][37][38][39] especially during face-lift procedures, and this is true when implants are placed through the same rhytidoplasty incision. Our considerable experience supports the use of malar implants for rhytidectomies.…”

Section: Discussionmentioning

confidence: 99%

“…The second purpose of this study was to emphasize the superiority of the preauricular approach for implant placement during rhytidectomy. Most experienced surgeons advocating the use of facial implants 2,9,[36][37][38] also prefer the intraoral route while performing a face-lift procedure. This approach, which is still preferred by us for isolated augmentation malarplasty (not associated with a face-lift procedure), has various disadvantages:…”

Section: Plastic and Reconstructive Surgery • November 2022mentioning

confidence: 99%

See 1 more Smart Citation

Zygomatic implants through a face-lift approach: Analysis of 30-years experience

Pelle-Ceravolo

Angelini

2022

Plastic &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

Background: The use of zygomatic implants has been mostly replaced by fat grafting in rhytidectomy procedures. Furthermore, surgeons using implants prefer the intraoral approach. The authors aimed to describe and emphasize the usefulness of the preauricular approach as the best approach for this operation and underline the value of cheek implants as an alternative and/or as an adjunct to fat grafting during face-lift procedures for midfacial rejuvenation. Methods: A retrospective study of 350 patients who underwent face-lift procedures with silicone malar implant placement through a preauricular approach was conducted. Postoperative photographs of all patients were examined by two physicians for postoperative volume adequacy, naturalness of appearance, and improvement in asymmetry. Patient satisfaction was evaluated using a questionnaire with an ordinal scale. Results: The large majority of patients [338 of 350 (96.5 percent)] were completely satisfied or satisfied with the aesthetic outcome. The complication rate was very low and comparable to data reported in current literature. Conclusions: The application of cheek implants proved to be a great tool for midfacial volume rejuvenation with or without associated fat grafting. This conclusion was drawn from the answers reported in the questionnaires completed by the two examiners. The main challenge in this operation was the choice of the type, shape, and size of the implant. The preauricular approach should be given preference during this procedure because, compared to the other approaches, it is easier, faster, and more comfortable for both the patient and the surgeon. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Plastic and Reconstructive Surgery • November 2022mentioning

confidence: 99%

Zygomatic implants through a face-lift approach: Analysis of 30-years experience

Pelle-Ceravolo

Angelini

2022

Plastic &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

show abstract

“…A key feature of the female face is triangulation of the cheeks in relation to the chin, with prominent, well-defined cheeks imparting a heart-shaped appearance 3,9 . For transfeminine individuals, this look can be achieved with malar augmentation via autologous fat transfer or prosthetic implants 10 . Autologous fat transfer is a viable option for patients who only desire a minor enhancement, whereas prosthetic implants offer a more predictable long-term aesthetic outcome for those requiring a major enhancement 11 .…”

Section: Discussionmentioning

confidence: 99%

Technical Pearls and Pitfalls of Facial Feminization Surgery

Chaya,

Laspro,

Trilles

et al. 2024

Ann Plast Surg

View full text Add to dashboard Cite

Background Facial feminization surgery (FFS) is an emerging practice that falls under the broader umbrella of gender-affirming surgery. Various approaches exist to feminize the face, yet few published articles describe in detail the techniques of each component procedure. Considering the diversity of interventions employed, the objective of this manuscript is to highlight FFS techniques utilized by the senior author and create a corresponding media gallery. Methods All patients with the diagnosis of gender dysphoria that were referred to the senior author for FFS consultation between June 2017 and August 2022 were reviewed. Data were retrospectively collected from electronic medical records according to the institutional review board (IRB)–approved study protocol. Data collected and analyzed included demographics, operative documentation, and postoperative follow-up. Multimedia material was collected intraoperatively and postoperatively. Results A total of 231 patients underwent 262 operations with a total of 1224 FFS procedures. The average follow-up time was 7.7 ± 11 months. Out of the 262 operations, 24 (9.2%) patients experienced minor complications, including 3 (1.1%) with wound dehiscence, 13 (5.0%) with hematomas, and 14 (5.3%) with postoperative infection requiring antibiotics. Of those, 3 (1.1%) required a return to the operating room for washout or removal of malar implants. Conclusion Although there is a consensus on the fundamental surgical principles to achieve adequate feminization of the facial architecture, the specific techniques to do so differ according to individual practices. As techniques diverge, so do their risk profiles and outcomes; techniques must, thus, align with patients' interventional goals. The material presented here is one of many that can support trainees and junior surgeons as they build a gender-affirming practice.

show abstract

“…Facial implants represent an attractive strategy for addressing the aging face and rehabilitating prior injury . Commonly used in conjunction with other procedures, facial implants promote increased definition in the mental and malar regions, leading to a youthful appearance and enhancing the nose-chin relationship . Although these procedures are generally considered safe, the true incidence of complications may be difficult to ascertain.…”

Section: Introductionmentioning

confidence: 99%

“…1 Commonly used in conjunction with other procedures, facial implants promote increased definition in the mental and malar regions, leading to a youthful appearance and enhancing the nose-chin relationship. 2,3 Although these procedures are generally considered safe, the true incidence of complications may be difficult to ascertain. To our knowledge, there have been no large-scale analyses of related adverse events.…”

mentioning

confidence: 99%

Adverse Events in Facial Implant Surgery and Associated Malpractice Litigation

Rayess

Svider

Hanba

et al. 2018

JAMA Facial Plast Surg

View full text Add to dashboard Cite

IMPORTANCE Facial implants represent an important strategy for providing instant and long-lasting volume enhancement to address both aging and posttraumatic defects. OBJECTIVE To better understand risks of facial implants by examining national resources encompassing adverse events and considerations facilitating associated litigation. DESIGN, SETTING, AND PARTICIPANTS A cross-sectional study reviewed complications following facial implants. The procedures reviewed were performed on patients at locations throughout the United States from January 2006 to December 2016. Data collection was completed in March 2017. The Manufacturer and User Facility Device Experience database, which contains medical device reports submitted to the US Food and Drug Administration (FDA), was searched for complications that occurred from January 2006 to December 2016 involving facial implants made by Implantech, MEDPOR, Stryker, KLS Martin, and Synthes. Furthermore, the Thomson Reuters Westlaw legal database was searched for relevant litigation. MAIN OUTCOMES AND MEASURES The complications of facial implants were analyzed in relation to the location of implant and severity of complication. Litigation was analyzed to determine which factors determine outcome. RESULTS Thirty-nine instances of adverse events reported to the FDA were identified. Sixteen (41%) involved malar implants, followed by 12 chin implants (31%). The most common complications included infection (18 [46%]), implant migration (9 [23%]), swelling (7 [18%]), and extrusion (4 [10%]). Thirty-two patients (83%) had to have their implants removed. Infection occurred at a mean (SD) of 83.3 (68.8) days following the surgery. One-third of complications involved either migration or extrusion. The mean (range) time to migration or extrusion was 381.1 (10-2400) days. In 12 malpractice cases identified in publicly available court proceedings, alleged inadequate informed consent and requiring additional surgical intervention (ie, removal) were the most commonly cited factors. CONCLUSIONS AND RELEVANCE Infection and implant migration or extrusion are the most common complications of facial implants. Most of these complications necessitate removal. These considerations need to be discussed with patients preoperatively as part of the informed consent process, as allegedly inadequate informed consent was cited in a significant proportion of resultant litigation, and there were overlapping considerations among adverse events reported to the FDA and factors brought up in relevant litigation. Cases resolved with settlements and jury-awarded damages encompassed considerable award totals. LEVEL OF EVIDENCE NA.

show abstract

Malar Augmentation

Cited by 46 publications

References 13 publications

Zygomatic implants through a face-lift approach: Analysis of 30-years experience

Zygomatic implants through a face-lift approach: Analysis of 30-years experience

Technical Pearls and Pitfalls of Facial Feminization Surgery

Adverse Events in Facial Implant Surgery and Associated Malpractice Litigation

Contact Info

Product

Resources

About