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New Treatment of Facial Paralysis by

Microsurgery with NTL (Viterbo Technique)

Facial paralysis is a disfiguring disorder with significant psychological impact, emotional and family, leading to these suicidal patients, because these patients are marginalized in their families, work and their social environment ...

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ARTICLES

 

Facial Implants
 

There are a variety of products that can be used as facial implants. They are usually divided into biological and artificial, according to their composition and can be temporary or definitive, caution should be exercised when choosing the type of facial implant, and request all information regarding each of them with your surgeon Plastic confidence, due to high rates of serious complications that present immediate or delayed, especially materials that are used to give volume (Biopolymers, Polymethyl methacrylate PMMA, polyacrylamide and others reported in the major journals of the Brazilian Society of Plastic Surgery , Aestetic Plastic Surgery, Plastic and Reconstructive Surgery.

All these substances are used indiscriminately as a complement to standard facial facial surgeries to treat deeper facial wrinkles such as nasolabial furrows, increase lip volume or to add volume and projection in the region of the chin, or cheeks and jaw.

Taking all these experiences of high complications can produce severe facial deformities, be they immediate or delayed (12 years post-application).

We recommend the exclusive use of facial implants silicone medical type with similar characteristics used for breast implants or the use of porous polyethylene implants (Medpor), and for filling nasolabial folds, blabelar or add volume to lips using autologous fat with excellent results and without complications.

These products may be associated during the procedure or after facelift. They offer something more to improve the results obtained with surgery and are widely used today.

Facial implants, also serve to correct certain facial disproportions, whether congenital, acquired or traumatic.

 

Figure 1. Sequence of facial improvement is achieved by Chin, generally associated with rhinoplasty.

 

Figure 2 types of incisions for colocaciòndel implant (A) external incision (B) Intraoral incision.

 

Figure 3. Final position of the implant.

 

A                                      B
Chart 4. Another option is a transverse osteotomy, using his own blood as progress, and eliminating the use of a chin implant. A preoperative. B Note the new position taken by the patient's bone segment providing an increase in the chin.

 

Chart 5. Position malar implant, note projection and harmony in facial contour. facial

 

Figure 6. Implants in the jaw.

 

What type of anesthesia is recommended to use?
In our experience, this surgical procedure is performed under local anesthesia sedation more superficial, the patient is conscious and feels relaxed surroundings are insensitive to pain.

From which age can be placed facial implants?
For cosmetic surgery is recommended from age 15, age as this ossified craniofacial and facial features are final. In reconstructive surgery (congenital or traumatic) has no age limit for use, and should not be expected that these patients present a psychological impact that may have an impact for life.

What changes are obtained with facial implants?
This type of facelift changes its appearance, emphasizing the facial contour according to each case.

 

 
 
 

 

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