Q: Dr. Eppley, I came across your Paranasal implants examples on this website,
To make sure that we are on the same page, below is a picture of my lateral facial profile. I am unhappy with the fact that I have a slightly prominent mouth. I am also unhappy that the angle between the bottom of my nose and my lip is an acute angle, which is around 55 to 60 degrees. And I want to let you know that I have had a nose surgery to heighten my nose already.
I have read on your website as well as other Paranasal Implant cases done in other countries. I wonder if a Paranasal implant can be done on me in your opinion to make my nose look a bit taller, and to make my mouth less prominent, and to get a larger degree between the bottom of my nose and my lip.
I look forward to seeing your email. Thank you.
A: What you are referring to is not a paranasal implant per se as that will only augment the side of the nose underneath the nostrils. To change the nasolabial angle and add more projection above the mouth, the central premaxillary region needs to be augmented. Whether that needs to be combined into a premaxillary-paranasal implant design for a more overall nasal/midface effect depends on your aesthetic goals. With either midface implant style, however, the nose is not going to become ‘taller’ as a result.
Dr. Barry Eppley