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Anatomy, Surgical Techniques, and Principles of Reconstruction A Tessier No. 7 facial cleft, also known as a transverse facial cleft or congenital macrostomia, is a rare congenital craniofacial deformity characterized by an abnormal lateral extension of the oral commissure into the cheek. The deformity results from abnormal embryologic development at the junction of the maxil...

Surgical Considerations, Implant Selection, and Technical Challenges Testicular implant replacement is commonly performed to improve the size, shape, position, or firmness of an existing prosthesis. One particularly challenging revision involves replacing a relatively small, firm saline-filled testicular implant with a larger, softer solid silicone implant. This type of revis...

A paranasal implant can function as a nasolabial fold implant, but only when the fold is substantially caused by skeletal deficiency adjacent to the piriform aperture. It is better thought of as a deep structural support implant rather than an implant placed directly beneath the visible crease. The paranasal region lies lateral to the nasal

Paranasal implants are facial implants placed along the lateral nasal base and adjacent pyriform aperture to augment a deficient central midface. Their main purpose is to increase skeletal projection beside the nose rather than enlarge the cheek. They are most useful in patients with paranasal or pyriform aperture deficiency, where the nasal base appears recessed

In custom facial implants, there are four different material options which differ in their structural composition as well as in their physical characteristics. For some surgeons and patients there is a belief that one material over another provides superior aesthetic effects. While there may be other reasons to select one material over another, the potential