Q: Dr. Eppley, I have had double jaw surgery in the past. Can I still have midface implants place after? In addition, what is the ‘duration’ of such implant, as in after how long might need to take it out? And what are the risks associated with such surgery?Thanks.
A: A variety of midface implant styles and sizes can be used to further enhance the effects of a prior LeFort I osteotomy. In answer to your midface implant questions:
1. Having a prior LeFort osteotomy does not preclude from having midfacial implants. A custom design can be done around any existing plates and screws. As a general rule I usually do not like to take out plates and screws in the maxilla as they often open up holes into the maxillary sinus which could be an infectious source for the implant.
2. As long as they achieve the desired aesthetic effect, midface implants are permanent. They will never degrade or need to be replaced because of a material problem such as breakdown or being ‘worn out’.
3. Like all implant surgery anywhere in the body the surgical risks are the same….infection, asymmetry and inability to achieve the desired aesthetic facial effect.
Dr. Barry Eppley