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Intranasal surgical approach for malar alloplastic augmentation
Jose Abel de la Peña-Salcedo1, Miguel Angel Soto-Miranda, Jose Fernando Lopez-Salguero
1Institute for Plastic Surgery, Mexico City, Mexico. abeldelapena@plasticsurgery.com.mx
Aesthetic Surgery Journal
|January 11, 2012
Summary
This study introduces an intranasal approach for alloplastic malar augmentation, demonstrating high patient satisfaction and a near-zero complication rate for midface enhancement.
Area of Science:
- Plastic Surgery
- Facial Aesthetic Surgery
Background:
- Alloplastic malar augmentation is a common procedure for midface enhancement.
- It is also used to improve outcomes of other facial rejuvenation procedures.
Purpose of the Study:
- To present a novel intranasal surgical approach for malar implant placement.
- To introduce a new classification system for midface regions to aid augmentation planning.
Main Methods:
- A cohort of 20 patients underwent alloplastic malar augmentation using an intranasal approach between 1990 and 2010.
- Patients were categorized into three types based on nasal anatomy and need for alar correction.
- Implants were selected and placed according to the proposed classification and surgical technique.
Main Results:
- The study included 18 females and 2 males, aged 15-65 years, with an average follow-up of 10 years.
- All patients achieved favorable results with no major complications, nerve/vascular compromise, or implant malposition.
- Patient satisfaction was high at 95%, with only one patient requesting implant removal despite a good outcome.
Conclusions:
- The intranasal approach for alloplastic malar augmentation is effective for midface enhancement.
- This technique demonstrated excellent patient satisfaction and a very low complication rate in this series.
