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Michael J. YAREMCHUK, M.D. Craniofacial Plastic Surgeon

plastic - cosmetic - reconstructive surgery
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facial and eyelid rejuvenation surgery

facial implant surgery

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Patient Examples facial implant surgery - lower face implants
central midface augmentation
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The medical anthropologist, Leslie Farkas, determined the average dimensions and relations of facial landmarks and features of thousands of people from various ethnic and other study groups. In this study of the healthy North American Caucasians, he found that, on the average, most people have a convex face. Relatively few had a midface which is concave.

Many people think that a concave midface is less attractive than one which is convex. The lack of skeletal projection provides less support for the lower lids and cheeks. The lack of skull projection in patients with concave midface provides less support for the lower lids and cheeks. This leads to their premature descent with premature aging as evidenced by early bags, scleral show, and lack of cheek fullness. In addition, concave midface makes the eyes and nose appear more prominent.

Central midface concavity is not effectively treated with fillers, fat grafts, or standard cheek implants. To make a concave midface appear convex requires skeletal augmentation of the midface with multiple implants, as well as midface soft tissue resuspension (subperiosteal midface lift). To see a diagrammatic representation of the surgery performed by Dr. Yaremchuk click here
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Patient Example. . Patient Example.

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Patient Example. . Patient Example.

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patient example 1

This patient underwent central midface augmentation with multiple custom-caved implants. They included paranasal, infraorbital rim, and medial malar implant. A subperiosteal midface resuspension was also performed.

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Patient Example. . Patient Example.

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Patient Example. . Patient Example.

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Patient Example. . Patient Example.

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patient example 2

This patient desired several changes in his facial contour. In two operations, Dr. Yaremchuk performed infraorbital rim (lower eye socket), paranasal (bones lateral to the nose), malar (cheekbone), and mandibular body (lower jaw) augmentation. In addition, the patient had a midface lift, lateral canthopexy (to change the shape of his eyes), and rhinoplasty. To learn more about this surgery, click here.

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C. 2005   Michael J. YAREMCHUK, M.D.    all rights reserved