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Cranial Bones: Lateral View01:27

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The superior view of the cranium shows the frontal and paired parietal bones.
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Bone Formation by Intramembranous Ossification01:29

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Intramembranous ossification is one of the two processes involved in the development of bones within an embryo. The flat bones of the face, most of the cranial bones, and the clavicles are formed via this process. During intramembranous ossification, the bones develop directly from sheets of undifferentiated mesenchymal connective tissue.
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Related Experiment Video

Updated: Apr 13, 2026

Midface Hypoplasia and Cranial Base Morphology in Syndromic Craniosynostosis: A Comparative Analysis Study Using a Predictive Regression Model
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Midface Hypoplasia and Cranial Base Morphology in Syndromic Craniosynostosis: A Comparative Analysis Study Using a Predictive Regression Model

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Midface skeletal enhancement.

Danny J Soares1, William E Silver2

  • 1Private Practice, Mesos Plastic & Laser Surgery, 757 County Road 466, Lady Lake, FL 32159, USA.

Facial Plastic Surgery Clinics of North America
|April 30, 2015
PubMed
Summary
This summary is machine-generated.

Alloplastic malar augmentation provides permanent midface volume enhancement for aging or asymmetry. The transoral approach with suture stabilization is the standard surgical technique for this cosmetic procedure.

Keywords:
Alloplastic malar augmentationCheek augmentationCheek implantsMidface augmentationMidface surgery

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Area of Science:

  • Plastic Surgery
  • Aesthetic Surgery
  • Facial Anatomy

Background:

  • Facial aging, hypoplasia, and congenital asymmetry lead to midfacial volume loss and ptosis.
  • Alloplastic malar augmentation offers a permanent, reversible solution for midface volume restoration.
  • A variety of implant materials and designs are available for facial aesthetic surgeons.

Purpose of the Study:

  • To review the surgical protocol for alloplastic midface augmentation.
  • To detail the transoral surgical approach with transcutaneous implant suture stabilization.

Main Methods:

  • Focuses on the transoral surgical approach for malar augmentation.
  • Details implant placement and transcutaneous suture stabilization techniques.
  • Discusses considerations for implant selection based on patient anatomy.

Main Results:

  • The transoral approach with suture stabilization is the most common technique.
  • This method effectively addresses midfacial volume deficits and asymmetry.
  • Achieves permanent yet reversible midfacial volume enhancement.

Conclusions:

  • Alloplastic malar augmentation is a reliable method for midface rejuvenation and correction.
  • The transoral approach with suture stabilization is the preferred surgical technique.
  • This procedure offers predictable and satisfactory aesthetic outcomes.