Will Paranasal-Premaxillary Implant Augmentation Work For Me?

Q: Dr. Eppley, I am interested in the PARANASAL AND PREMAXILLARY IMPLANTS. I have pictures of the before and after (photoshopped). I hope your procedure is a good solution, as it is a pretty specific/niche procedure.

A:What you have imaged is nasal base augmentation with increased nasal tip projection. Such changes are very realistic from a surgical procedure that combines paranasal-premaxillary implants with an open tip rhiniplasty with columellar strut graft. The nasal base augmentation will NOT by itself cause nasal tip rotation as you have imaged. That requires a direct approach. This surgical combination is very common in faces that look just like yours for the very facial augmentation effect you have imaged.

Dr. Barry Eppley

World-Renowned Plastic Surgeon