Post on 23-Jun-2015
description
www.clinicabenarroch.com 902 11 06 47
YOUTHFUL APPEARANCE
MALAR IMPLANTS ++ MIDFACE MINILIFTING
Samuel Benarroch Mahfoda Samuel Benarroch Mahfoda MD, DDSMD, DDS
Oral & Maxillofacial SurgeryOral & Maxillofacial Surgery
www.clinicabenarroch.com 902 11 06 47
IDEAL FACIAL BEAUTY STARTS WITH IDEAL FACIAL BEAUTY STARTS WITH
AN IDEAL BONE STRUCTUREAN IDEAL BONE STRUCTURE
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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
www.clinicabenarroch.com 902 11 06 47
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
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Surgical Technique
• Malar implant intraoral approach
• Midface minilifting
• Standard lower blepharoplasty
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Malar implants Malar implants
Porous Rigid Polyethylene
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MIDFACE MINILIFTING
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LOWER BLEPHAROPLASTY
NASAL BUCAL FOLD AREANASAL BUCAL FOLD AREA
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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
www.clinicabenarroch.com 902 11 06 47
www.clinicabenarroch.com 902 11 06 47
www.clinicabenarroch.com 902 11 06 47
www.clinicabenarroch.com 902 11 06 47
www.clinicabenarroch.com 902 11 06 47
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
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www.clinicabenarroch.com 902 11 06 47
www.clinicabenarroch.com 902 11 06 47
www.clinicabenarroch.com 902 11 06 47
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
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Conclusions Conclusions
APPROACH TOWARDS APPROACH TOWARDS FACIAL REJUVENATIONFACIAL REJUVENATION
• Restoring volume
• Lifting and reducing the aged and less elastic soft tissue
www.clinicabenarroch.com 902 11 06 47
YOUTHFUL APPEARANCE
MALAR IMPLANTS + MIDFACE MINILIFTING
Samuel Benarroch Mahfoda Samuel Benarroch Mahfoda MD, DDSMD, DDS
Oral & Maxillofacial SurgeryOral & Maxillofacial Surgery