Should I Get Paranasal Implants Before A Rhinoplasty?

Q: Dr. Eppley, Hello! I suffer from the common east-asian recessed upper maxilla. The bone under my nose sinks in, creating a flat look and protruding appearing mouth. My occlusion is normal and this is mainly an aesthetic concern. I’ve attached photos for angles & measurement.

I am also planning a Korean rhinoplasty a few months later, where the surgeon will be increasing the height of the bridge and tip. I want to ensure that I can create a proper foundation for that procedure, and I also want to ensure that the implant is balanced to avoid an overly projected midface with the rhinoplasty.

A:Thank you for your inquiry and sending your pictures to which I can answer the following questions:

1) You are a good candidate for paranasal– maxillary augmentation but not for the premaxillary area. Opening up your nasolabial angle would be counterproductive for your second stage rhinoplasty.

2) I would wait three months after such midface augmentation before undergoing an open rhinoplasty.

3) The most contemporary form of paranasal implants are comprised of ePTFE.

Dr. Barry Eppley

Plastic Surgeon