title: Pyriform Aperture Augmentation as An Adjunct to Rhinoplasty.
abstract: Skeletal deficiency in the central midface impacts nasal aesthetics. This lack of lower face projection can be corrected by alloplastic augmentation of the pyriform aperture. Creating convexity in the deficient midface will make the nose seem less prominent. Augmentation of the pyriform aperture is, therefore, often a useful adjunct during the rhinoplasty procedure. Augmenting the skeleton in this area can alter the projection of the nasal base, the nasolabial angle, and the vertical plane of the lip. The implant design and surgical techniques described here are extensions of others' previous efforts to improve paranasal aesthetics.
authors.affiliation: Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, WACC 435, Boston, MA 02114, USA. Electronic address: dr.y@dryaremchuk.com.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Yaremchuk
authors.affiliation: Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, WACC 435, Boston, MA 02114, USA.
authors.forename: Dev
authors.initials: D
authors.lastname: Vibhakar
mesh_terms: D002610:Cheek / Q000601:surgery*; D006801:Humans; D060052:Nasolabial Fold / Q000601:surgery*; D019736:Prostheses and Implants; D012225:Rhinoplasty / Q000379:methods*
keywords: Adjunct to rhinoplasty; Paranasal implants; Pyriform aperture augmentation; Treatment of lower midface deficiency