rejuvenecimiento facial - youthful appearance

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YOUTHFUL APPEARANCE

MALAR IMPLANTS ++ MIDFACE MINILIFTING

Samuel Benarroch Mahfoda Samuel Benarroch Mahfoda MD, DDSMD, DDS

Oral & Maxillofacial SurgeryOral & Maxillofacial Surgery


IDEAL FACIAL BEAUTY STARTS WITH IDEAL FACIAL BEAUTY STARTS WITH

AN IDEAL BONE STRUCTUREAN IDEAL BONE STRUCTURE


PURPOSE PURPOSE

Assess the importance to restore facial Assess the importance to restore facial bone structure before a midface lifting bone structure before a midface lifting

by means of malar implantsby means of malar implants


Materials and Methods

• Four patients (3 females, 1 male)Four patients (3 females, 1 male)• Mean age 49 years Mean age 49 years

Surgical phasesSurgical phases

3 patients 3 patients 2 phases2 phases1 patient 1 patient 1 phase1 phase


Surgical Technique

• Malar implant intraoral approach

• Midface minilifting

• Standard lower blepharoplasty


Malar implants Malar implants

Porous Rigid Polyethylene


MIDFACE MINILIFTING


LOWER BLEPHAROPLASTY

NASAL BUCAL FOLD AREANASAL BUCAL FOLD AREA


CASE ICASE I VB, F, 55 yr. Nov, 2002

• PROBLEM LISTPROBLEM LIST– Aged malar areaAged malar area– Blepharoptosis Blepharoptosis – Deep nasolabial foldsDeep nasolabial folds– JowlingJowling– AP chin deficiencyAP chin deficiency– Short Neck lineShort Neck line

• SURGICAL PLANSURGICAL PLAN– Malar implantsMalar implants– Upper and Lower Upper and Lower

BlepharoplastyBlepharoplasty– Mid face liftingMid face lifting– Chin advancementChin advancement


CASE IICASE II CB, F, 54 yr. SEP, 1999• PROBLEM LISTPROBLEM LIST

– Aged malar areaAged malar area– Blepharoptosis Blepharoptosis – Deep nasolabial foldsDeep nasolabial folds– JowlingJowling– AP chin deficiencyAP chin deficiency– Neck lipomatosisNeck lipomatosis

• SURGICAL PLANSURGICAL PLAN– Malar implantsMalar implants– Upper and Lower Upper and Lower

BlepharoplastyBlepharoplasty– Mid face liftingMid face lifting– Chin advancementChin advancement– Neck liposuctionNeck liposuction


RESULTSRESULTS

• IMPROVEMENT OF THE NASOLABIAL IMPROVEMENT OF THE NASOLABIAL FOLDS FOLDS

• NO NASAL BASE WIDTHNESSNO NASAL BASE WIDTHNESS

• NO LABIAL ENLARGEMENT OR NO LABIAL ENLARGEMENT OR COMMISSURAL DISTORTION COMMISSURAL DISTORTION

• MINIMAL SCARRING MINIMAL SCARRING

• MINOR SURGICAL TIMEMINOR SURGICAL TIME


Conclusions Conclusions

APPROACH TOWARDS APPROACH TOWARDS FACIAL REJUVENATIONFACIAL REJUVENATION

• Restoring volume

• Lifting and reducing the aged and less elastic soft tissue


YOUTHFUL APPEARANCE

MALAR IMPLANTS + MIDFACE MINILIFTING

Samuel Benarroch Mahfoda Samuel Benarroch Mahfoda MD, DDSMD, DDS

Oral & Maxillofacial SurgeryOral & Maxillofacial Surgery

rejuvenecimiento facial - youthful appearance

Health & Medicine

volume lifting

dds oral maxillofacialsurgery

facial bone structure

ideal bone structure

ideal facial beauty

nasal base widthness

labial enlargement

male mean age