Malar Implants. The transconjunctival route – Pierjean Albrecht – IMCAS congress 2002

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TITLE: Alloplastic malar implants in M / MAU * – Zone 1 – for aesthetic purposes. The transcunjunctival route.

AUTHOR: Pierjean Albrecht

CITY: Marbella

Title: alloplastic malar implants in M / MAU * – Zone 1 – for aesthetic purposes. The transconjunctival route.

Subject: The aim of this study was to evaluate the transconjunctival route in the case of alloplastic malar implants in M / MAU – zone 1. It seemed worthy of interest, given the elasticity of the conjunctiva, the lack of damage to the orbicularis muscle, which no longer justify associated canthopexy .

Materials and Methods: 14 patients, 40 to 63 years old, were operated under local anesthesia and sedation between May 2001 and March 2002. Interventions were initiated like transconjunctival  blepharoplasty and completed according to the modified subcilliiary technique, without canthopexy, using thick silicone implants , wide and anatomical. Basic principles were respected; stay on the bone, avoid soft tissue injuries, expand the pocket adequately, reduce bleeding. Comfort of gesture, easy and stable positioning, swelling and bruising after surgery, scar retraction and cosmetic outcome were evaluated.

Results: 13 very satisfactory results were noted and one retouch necessary due to a too small pocket. The postoperative edema and bruising are therefore moderate and of short duration. The positioning of the implants was easy and cosmetic results very satisfactory . No scar retraction of the lower eyelid or implant migration were observed after 14 months.

Conclusions: The transconjunctival route for silicone malar implants is an ideal alternative to conventional surgical approaches. Benefits to patients and the surgeon are saving of operative time, lower risk of infection, no suture, no visible scar visible, easy route and incision, without damaging the orbicularis muscle and therefore without canthopexy, fast and perfect patients recovery , no postoperative pain.

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* Malar / Midface Aesthetic Unit.

 Implants malaires par voie transconjonctivale Pierjean Albrecht

Alloplastic malar implants in M / MAU * – Zone 1 – for aesthetic purposes. The transconjunctival route – Pierjean Albrecht

 International Master Course on Ageing Skin - IMCAS. 2002

Mots-clefs : dr. pierjean albrecht, pierjean albrecht, dr. pierjean albrecht marbella, pierre jean albrecht, pierre jean albrecht marbella, albrecht marbella