Malar Implants for Improvement of the Facial Appearance

Hinderer, Ulrich T.

doi:10.1097/00006534-197508000-00007

Cited by 148 publications

(28 citation statements)

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“…In the midcheek, weakness of skeletal support medially contributes to the “tear-trough deformity” [24], and over the malar segment laterally, the changes manifest as malar mounds [38]. Additionally, the major loss of bone projection of the maxilla that contributes to the edge of the pyriform aperture, particularly inferiorly, results in less support of the alar base and upper lip part of the nasolabial groove.…”

Section: Discussionmentioning

confidence: 99%

“…These individuals can be recognized in youth because they have a more attractive face with a strong skeletal structure, as evidenced by the presence of youthful bony features that provide good support to the overlying soft tissues. These features include a prominent supraorbital bar, a strong cheekbone, and a prominent jaw line [36, 38, 39]. Because these individuals innately have youthful bony contours, they start off “high on the curve” of bony support so that it takes longer for the bone loss of aging to manifest clinically.…”

Section: Discussionmentioning

confidence: 99%

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Changes in the Facial Skeleton With Aging: Implications and Clinical Applications in Facial Rejuvenation

Mendelson¹,

2012

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In principle, to achieve the most natural and harmonious rejuvenation of the face, all changes that result from the aging process should be corrected. Traditionally, soft tissue lifting and redraping have constituted the cornerstone of most facial rejuvenation procedures. Changes in the facial skeleton that occur with aging and their impact on facial appearance have not been well appreciated. Accordingly, failure to address changes in the skeletal foundation of the face may limit the potential benefit of any rejuvenation procedure. Correction of the skeletal framework is increasingly viewed as the new frontier in facial rejuvenation. It currently is clear that certain areas of the facial skeleton undergo resorption with aging. Areas with a strong predisposition to resorption include the midface skeleton, particularly the maxilla including the pyriform region of the nose, the superomedial and inferolateral aspects of the orbital rim, and the prejowl area of the mandible. These areas resorb in a specific and predictable manner with aging. The resultant deficiencies of the skeletal foundation contribute to the stigmata of the aging face. In patients with a congenitally weak skeletal structure, the skeleton may be the primary cause for the manifestations of premature aging. These areas should be specifically examined in patients undergoing facial rejuvenation and addressed to obtain superior aesthetic results.Level of Evidence IVThis journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.Electronic supplementary materialThe online version of this article (doi:10.1007/s00266-012-9904-3) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Changes in the Facial Skeleton With Aging: Implications and Clinical Applications in Facial Rejuvenation

Mendelson¹,

2012

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“…Hinderer resolved difficulty in diagnosing malar deficiency by highlight the intersection of two lines to find the malar eminence .The first line was drawn from the buccal angle to the outer canthus of the eye and the second was drawn from the alar base of the nose to the tragus [13].Many other methods for evaluation of malar prominence given by different authors include Powell, Bell, Whitakar and Kaptein [14][15][16][17].…”

Section: Patil Bc Et Al Evaluation Of Diagnostic Criteria For Clinmentioning

confidence: 99%

Evaluation of diagnostic criteria for clinical assessment of anterior malar projection in relation to midface esthetics

B.C¹,

Patil²,

Patil³

et al. 2017

Int J Recent Sci Res

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“…The areas are marked using the Hinderers technique. [3] The volume augmentation site is identified by two lines intersecting each other. One line runs from the tragus to the alar cartilage of the nose and the other from the outer canthus of the eye to the labial commissure.…”

Section: Technique For Mid-face Augmentation Using the Intraoral Routementioning

confidence: 99%

Intraoral approach: A newer technique for filler injection

Anand¹

2010

J Cutan Aesthet Surg

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Malar Implants for Improvement of the Facial Appearance

Cited by 148 publications

References 0 publications

Changes in the Facial Skeleton With Aging: Implications and Clinical Applications in Facial Rejuvenation

Changes in the Facial Skeleton With Aging: Implications and Clinical Applications in Facial Rejuvenation

Evaluation of diagnostic criteria for clinical assessment of anterior malar projection in relation to midface esthetics

Intraoral approach: A newer technique for filler injection

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