Can A Custom Paranasal Implant Build Up the Flat Area Under My Left Nose?

Q: Dr. Eppley, I have been 5 years using cocaine mainly through the left wide of the nose and that area of my face it is a little bit sunken and the part of the maxilla that makes the lateral shape of the nose it is more retracted than on the other side. Also the right alar sidewall is more elevated compared with the left side. I would like to know if its is possible to make a custom implant to reestablish the shape of my face and nose in a natural way. 


A: By description it sounds like building up the bone would be helpful in the improvement of your nasal base asymmetry. I would need to see some pictures of your face that show this nasal/midface asymmetry to provide a more qualified answer as to what may be able to be done. But by description you are referring to the medial maxilla or the paranasal region. This can certainly be built up by a customized paranasal implant. While a a custom implant made from your 3D CT scan would be ideal, even a hand carved one made from ePTFE could be done at the time of the surgery and would be of good aesthetic benefit.

Dr. Barry Eppley

Indianapolis, Indiana