Semin Plast Surg 1999; 12(2): 53-75
DOI: 10.1055/s-2008-1080213
Feature

© 1999 by Thieme Medical Publishers, Inc.

Facial Contouring with Alloplastic Implants: Aesthetic Surgery that Creates Three Dimensions

Edward O. Terino
  • E.O.T., Director of the Plastic Surgery Institute of Southern California, Los Robles Medical Center, Thousand Oaks, CA
Further Information

Publication History

Publication Date:
19 June 2008 (online)

ABSTRACT

Facial aesthetic surgery procedures have presently evolved to the highest level possible, the three-dimensional restructuring of facial form. Repositioning of the deep soft tissue planes from the neck to the zygoma, as well as subperiosteal plane, upper and midface elevation, have become commonplace. Alloplastic implant contouring is not only a useful adjunct, but a fundamental addition to the variety of new techniques. It is now possible for the aesthetic surgeon to restore, rejuvenate, or enhance facial form that is either hereditary or has resulted from aging changes. Infinite variations in facial contour are now possible. By using alloplastic techniques based on concepts of facial zonal anatomy and aesthetic deficiency typing, facial, skeletal, and soft tissue contours can be created or modified with a minimum of complications. The use of alloplastic implants on the “fourth skeletal plane” represents the most favorable and significant manipulation of soft tissue, as well as skeletal anatomic elements of mass and volume.

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