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Secondary malar implant surgery.

Michael J Yaremchuk1

  • 1Boston, Mass. From the Division of Plastic Surgery, Department of Surgery, Massachusetts General Hospital, and Harvard Medical School.

Plastic and Reconstructive Surgery
|February 28, 2008
PubMed
Summary
This summary is machine-generated.

Malar implant complications like asymmetry and nerve damage can be addressed with secondary surgery. This involves removing implants, replacing them, and performing a midface lift for improved cheek contours.

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Area of Science:

  • Plastic and reconstructive surgery
  • Facial aesthetics

Background:

  • Malar implant surgery can lead to iatrogenic issues including asymmetry, contour deformities, and infraorbital nerve damage.
  • These complications may necessitate revision surgery to correct aesthetic and functional deficits.

Purpose of the Study:

  • To evaluate the effectiveness of secondary surgery in correcting malar implant-related midface deformities.
  • To assess patient satisfaction following revisionary procedures for malar implant complications.

Main Methods:

  • Secondary surgery involved implant removal, replacement with appropriately sized and positioned implants, and subperiosteal midface lift (cheek resuspension).
  • The procedure aimed to address bone erosion and soft-tissue contracture caused by the initial implants.

Main Results:

  • Twenty out of 22 patients reported satisfaction with the secondary surgery.
  • One patient required further revision and subsequent implant removal; another experienced a repeat infection necessitating implant removal.

Conclusions:

  • Malar implant-related midface deformities are correctable through implant removal, precise implant replacement, and subperiosteal midface resuspension.
  • This surgical approach can effectively restore facial aesthetics and patient satisfaction.