Will A Custom Midface Mask Implant Bring Out My Flat Midface?

Q: Dr. Eppley, I’m interested in having facial implants surgery. As you can see from my photos, I have flat cheeks and hollow nasal base. I actually had paranasal implant surgery two years ago but I realized the thickness of the implant is not enough. (5mm) Before I read your articles, I was only considering having cheek implant and pyriform implant separately to make more volume to my midface. But I just saw another option on your website that is having custom facial implant which can cover cheek and nasal base areas together.

Could you give me advices on which approach I should take to make my midface better looking. And I would also like to know the cost and material used of each approach.

Thank you very much and have a good day.

A:You are referring to what is known as the Midface Mask Implant which can cover the entire midface and provide complete anterior projection. For the patient with a flatter midface development this is a more anatomic and effective approach to the problem than traditional ‘spot’ implants which only augmentation smaller areas of the problem. By having existing paranasal implants in place you have some good knowledge as to what dimensions of the implant may be effective at the lower nasomaxillary level. Such an implant is made from the patient’;s 3D CT scan of which solid silicone is the most versatile material that permits a completely intraoral approach for its placement.