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Malar augmentation. Patient classification and placement.

M Prendergast1, L D Schoenrock

  • 1University of California School of Medicine, Department of Otolaryngology-Head and Neck Surgery, San Francisco.

Archives of Otolaryngology--Head & Neck Surgery
|August 1, 1989
PubMed
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This study defines ideal facial aesthetics for malar augmentation, identifying suitable candidates with ptotic malar mounds for balanced facial contours. It outlines criteria for achieving harmonious and youthful facial appearances through surgical enhancement.

Area of Science:

  • Plastic Surgery
  • Facial Aesthetics
  • Photogrammetry

Background:

  • Malar augmentation enhances facial appearance by addressing flattening of the malar eminence.
  • A youthful, oval facial shape and de-emphasis of prominent nasal or mental profiles are key aesthetic goals.
  • Detailed preoperative analysis for surgical candidates has been lacking.

Purpose of the Study:

  • To synthesize ideal facial measurements, focusing on the malar mound, using photogrammetry.
  • To establish criteria for identifying ideal candidates for aesthetic malar augmentation.
  • To compare synthesized ideal measurements with surgical outcomes.

Main Methods:

  • Photogrammetric analysis of 20 models from frontal, lateral, and oblique views.
  • Computer graphics used to compare synthesized ideal facial measurements with postoperative results.

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  • Definition of ideal candidates based on malar mound ptosis and soft tissue availability.

    • Main Results:

    • Synthesis of ideal facial measurements with specific attention to malar mound characteristics.
    • Identification of ideal candidates as those with ptotic malar mounds and sufficient soft tissue.
    • Presentation of examples illustrating suitable candidates and potential surgical pitfalls.

    Conclusions:

    • Aesthetic malar augmentation aims to improve facial harmony and youthfulness.
    • Ideal candidates possess ptotic malar mounds and adequate soft tissue for balanced results.
    • Preoperative analysis and understanding of potential pitfalls are crucial for successful malar augmentation.