Paranasal Implants

Q: Dr. Eppley, I am writing to ask about the paranasal implants. I have been doing research on this type of facial implant for a while. I have some questions.

One is what is the material for the implants?
Will it affect my facial expressions?
How long will the implants last?
Will they move around?

Thank you for your help!

A: In answer to your questions about this type of midface implant I can provide the following answers:

1) Paranasal implants are composed of either a solid silicone or an ePTFE material. The silicone ones are preformed. The ePTFE ones are hand carved at the time of surgery to the desired dimensions. There are advantages to each type of material but both can work well.

2) The implants initially will make your smile feel a little stiff but usually resolves by 6 weeks or so after surgery. There should not be any long-term facial movement limitations as long as the implants are not too big.

3) The implants are permanent and their shape and structure can never change or degrade over time. The materials used are non-biodegradable and non-reactive.

4) Paranasal implants will not move or become displaced as they are secured in place by small micro screws.

Dr. Barry Eppley

Indianapolis, Indiana