Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
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Improvement of Infraorbital Rim contour Using Medpor

  • Hwang, So Min (Aesthetic, Plastic and Reconstructive Surgery Center, Good Moonhwa Hospital) ;
  • Park, Seong Hyuk (Aesthetic, Plastic and Reconstructive Surgery Center, Good Moonhwa Hospital) ;
  • Lee, Jong Seo (Aesthetic, Plastic and Reconstructive Surgery Center, Good Moonhwa Hospital) ;
  • Kim, Hyung Do (Aesthetic, Plastic and Reconstructive Surgery Center, Good Moonhwa Hospital) ;
  • Hwang, Min Kyu (Aesthetic, Plastic and Reconstructive Surgery Center, Good Moonhwa Hospital) ;
  • Kim, Min Wook (Aesthetic, Plastic and Reconstructive Surgery Center, Good Moonhwa Hospital)
  • Received : 2016.01.13
  • Accepted : 2016.05.24
  • Published : 2016.06.20
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Abstract

Background: Asymmetry of the infraorbital rim can be caused by trauma, congenital or acquired disease, or insufficient reduction during a previous operation. Such asymmetry needs to be corrected because the shape of the infraorbital rim or midfacial skeleton defines the overall midfacial contour. Methods: The study included 5 cases of retruded infraorbital rim. All of the patient underwent restoration of the deficient volume using polyethylene implants between June 2005 and June 2011. The infraorbital rim was accessed through a subciliary approach, and the implants were placed in subperiosteal space. Surgical outcomes were evaluated using preoperative and postoperative computed tomography studies. Results: Implant based augmentation was associated with a mean projection of 4.6 mm enhancement. No postoperative complications were noted during the 30-month follow-up period. Conclusion: Because of the safeness, short recovery time, effectiveness, reliability, and potential application to a wide range of facial disproportion problems, this surgical technique can be applied to midfacial retrusion from a variety of etiologies, such as fracture involving infraorbital rim, congenital midfacial hypoplasia, lid malposition after blepharoplasty, and skeletal changes due to aging.

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References

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