One type of facial implant and a facial area that can be augmented is the paranasal area that most have never heard of. The paranasal region is the area just to the side of the nose at the wings of the nostrils. This is a bone-supported area above the anterior and canine teeth. I have become very familiar with this area in the treatment of cleft patients where the paranasal region was always deficient and sunken on the side of the cleft. I have often reconstructed this area with bone grafts or implants from an older child or adolescent when doing their reconstructive rhinoplasty (nose) surgery. From this experience, I observed how the reconstruction of this area affected the face.
Aesthetically, some patients have a general deficit in the center of the face as the upper jaw is somewhat short and their cheeks are flatter. Other patients have more ideal facial bone development but, as they age, the overlying nasolabial folds become “deeper” as the cheek How to have contoured cheeks
tissue descends and falls on the more firm upper lip tissue. In both cases, the use of paranasal implants can be aesthetically beneficial.
Paranasal implants are very small, quarter-sized implants that are placed on the bone right against the pyriform opening through a small incision under the lip. What is the piriform opening you ask for? If you look at a skull, you will see the nasal passages in the center of the face. The lower end of this large downward opening near the upper teeth is known as the pyriform opening. You can easily see the bone right next to them moving away. By building this area, you increase the fullness under the side of the nose.
Paranasal implants, although not commonly performed, can be useful as a general strategy with cheek implants to build the center of the face or to help soften the deeper end of the nasolabial fold near the nose.