Premaxillary augmentation: adjunct to rhinoplasty

Plast Reconstr Surg. 2000 Sep;106(3):707-12. doi: 10.1097/00006534-200009030-00031.

Abstract

Recession of the premaxillary area is a relatively common deformity. Typically, it presents as a mild weakness of the central maxilla, but in certain instances, such as in the Black and Asian communities, it may be moderate to severe. This condition can be compounded by a narrow nasolabial angle, recessed alar bases, and sunken cheeks. To resolve this deficiency, a new design for premaxillary augmentation is suggested. A bat-shaped premaxillary implant is used for correction. The implant is introduced by means of an intranasal or intraoral approach, while the patient is under either local or general anesthesia. Thirty-three patients have been managed for premaxillary recession and have been corrected by premaxillary augmentation. Satisfactory cosmetic results have been achieved, with only a few minor complications.

MeSH terms

  • Adolescent
  • Adult
  • Female
  • Humans
  • Male
  • Maxilla / surgery*
  • Maxillofacial Prosthesis Implantation*
  • Retrospective Studies
  • Rhinoplasty / methods*