Would A Custom MIdface Implant Be Better Than Standard Paranasal Implants?

Q: Dr. Eppley, “I would like to move forward with my paranasal implant surgery, I just have two remaining questions which I hope to get answered before the surgery: 

1. Would it be possible to do a custom or semi-custom made implant, I suppose they will fit better as my two sides are uneven?

2. Will you put screws to secure the implant as I worry they will shift?”

A: In answer to your midfacial augmentation questions:

1) If there is any midfacial asymmetry and to get more maxillary coverage it is always most ideal to have a custom paranasal-maxillary implant design done.

2) For a custom midfacial implant design in particular screw fixation is always used.

Dr. Barry Eppley

Indiana;polis, Indiana