Semin Plast Surg 2020; 34(02): 092-098
DOI: 10.1055/s-0040-1709175
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Premaxillary Deficiency: Techniques in Augmentation and Reconstruction

Tom Shokri
1  Department of Otolaryngology, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania
Weitao Wang
2  Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
Jason E. Cohn
3  Department of Otolaryngology–Head and Neck Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania
Sameep Kadakia
4  Department of Plastic and Reconstructive Surgery, Wright State University, Dayton, Ohio
Yadranko Ducic
2  Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
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06. Mai 2020 (online)


Progressive premaxillary retrusion is a common sequela of the facial aging process. In most cases, this manifests with central maxillary recession. Central maxillary insufficiency is also commonly encountered within certain ethnic communities, or in cleft lip nasal deformity, and may represent a challenge for the plastic and reconstructive surgeon attempting correction in the setting of facial contouring, rhinoplasty, or reconstruction following oncologic resection or trauma. Aesthetically, premaxillary retrusion may be coincident with an acute nasolabial angle and ptotic nasal tip. Minor deformities may be addressed with use of either alloplastic implants, autogenous tissue, lipotransfer, or injectable filler. Larger composite defects may require reconstruction with implementation of free tissue transfer. Herein, we describe techniques that aim to augment, or reconstruct, the premaxillary region in the context of nasal deformity, osseous resorption, or composite maxillofacial defects.