How Can I Augment My Sunken Paranasal Area?
Q: Dr. Eppley, I am self-conscious about my mid face. My cheekbone is large and projects outwards but the area below that (my nasal base area, I believe it’s called the paranasal area) looks sunken, giving a concave side profile in this specific area. I also feel like I have a mild case of bimaxiliary protrusion, which I think is accentuating the sunken paranasal area. I have attached my selfies and also two ideal before and after pictures.
A: Thank you for your inquiry and sending your pictures. You have the classic combination of a wider face that lacks central projection. The ideal image result you are showing in not just paranasal augmentation but a combined premaxillary-paranasal augmentation. The debate about such premaxillary-paranasal augmentation is whether that should be done using implants (ePTFE premaxillary and paranasal implants or using the patient’s own cartilage. (rib cartilage) That is a personal choice of the patient’s.
Dr. Barry Eppley