title: Improved malar projection with transconjunctival hydroxyapatite granules.
abstract: BACKGROUND
  Augmentation of the zygomatic body enhances appearance and provides a more youthful look. Porous hydroxyapatite granules offer an alternative to alloplastic implants.
  
  
  METHODS
  Hydroxyapatite granules were placed by means of a transconjunctival approach into subperiosteal malar pockets (n = 8). From the preoperative, postoperative, and 1-year follow-up lateral views, malar projection was measured as the right angle distance from the point of malar prominence to the nasale-subnasale line.
  
  
  RESULTS
  Patients were either very satisfied (six of eight) or satisfied (two of eight). Malar projection was significantly improved postoperatively and was maintained after 1 year.
  
  
  CONCLUSIONS
  This technique, performed for cosmetic and reconstructive indications, resulted in measurable improvement in malar projection, minimal complications, and optimal patient satisfaction.
authors.affiliation: Division of Plastic and Reconstructive Surgery, University of California, Los Angeles David Geffen School of Medicine, Los Angeles, California, USA.
authors.forename: Kimberly L
authors.initials: KL
authors.lastname: O'Hara
authors.forename: Andres F
authors.initials: AF
authors.lastname: Urrego
authors.forename: J I
authors.initials: JI
authors.lastname: Garri
authors.forename: Catherine M
authors.initials: CM
authors.lastname: O'Hara
authors.forename: James P
authors.initials: JP
authors.lastname: Bradley
authors.forename: Henry K
authors.initials: HK
authors.lastname: Kawamoto
mesh_terms: D000328:Adult; D000368:Aged; D002610:Cheek; D003228:Conjunctiva; D003357:Cosmetic Techniques; D017886:Durapatite / Q000008:administration & dosage / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D007267:Injections; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D015050:Zygoma
chemical_list: D017886:Durapatite