ABSTRACT
Whereas traditional concepts of facial aging focus on the descent of soft tissue secondary
to gravitational effects, it is now well established that volumetric changes involving
different levels of soft tissue loss reveal craniofacial skeletal deficiencies that,
together, contribute to the changes evident in the aging face. Thus, effective facial
rejuvenation requires a comprehensive paradigm that identifies and addresses all anatomic
elements involved in the aging process. Contemporary practices in facial rejuvenation
have expanded far beyond the rhytidectomy procedure to involve deeper and more fundamental
levels of dissection for the purpose of elevating and replacing volume. Alloplastic
implants offer a long-term, multidimensional solution to facial rejuvenation by concomitantly
augmenting skeletal deficiency, restoring lost soft tissue volume, and smoothing irregularities
in the facial contour. Facial augmentation using implants represents a straightforward,
simple procedure with minimal risks and long-lasting benefits. By applying accurate
and judicious techniques for preoperative analysis, selecting the appropriate implant,
and with correct surgical placement of the implants, the facial plastic surgeon can
achieve successful facial volumization and restore the youthful appearance of the
aging patient.
KEYWORDS
Facial volumization - midface implants - malar - submalar - aesthetic facial implants
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William J BinderM.D. F.A.C.S.
120 S. Spalding Drive, S. 340
Beverly Hills, CA 90212
eMail: wjbmd8@aol.com