Improved malar projection with transconjunctival hydroxyapatite granules.
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.
O'Hara
Kimberly L
KL
Division of Plastic and Reconstructive Surgery, University of California, Los Angeles David Geffen School of Medicine, Los Angeles, California, USA.
Urrego
Andres F
AF
Garri
J I
JI
O'Hara
Catherine M
CM
Bradley
James P
JP
Kawamoto
Henry K
HK
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
D017886:Durapatite