Paranasal Medpor implants

What are paranasal Medpor implants?

Paranasal Medpor implants are made of porous polyethylene. This a non-absorbable material which means the result will be permanent. The omni-directional pore structure of the polyethylene implants increases implant acceptance by allowing the patient‘s native tissue to integrate with the implant.

We use these paranasal implants in patients who lack volume in the paranasal area, so just next to the wings of the nose. This lack of volume may be caused by underdevelopment of the upper jaw (maxilla) or by loss of soft tissue caused by aging, or a combination of the two.

As women tend to have fuller cheeks and less wrinkles and grooves in their faces than men, adding volume in the cheek area and paranasal area has proven to have a feminizing effect in many cases.

Medpor implant or fat grafting?

• As the effect of lipofilling in the paranasal area has shown to be subtle, to those who really need a good amount of extra paranasal volume we would recommend using these implants.
• Dr. Bart van Nimmen prefers these implants. Why? Because they appear to offer the best results in the long term. They are placed via an incision just below the eyelashes allowing a very symmetrical placement. Because they are screwed into the bone structure, they stay in place, and there is hardly any risk of infection. However, in older patients with very droopy lower eyelids, extra measures must be taken to ensure that there is no hanging lower eyelid (ectropion). But in the hands of an experienced surgeon, the results of this procedure are fantastic.
• One of the big advantages of these implants is that they can easily be reduced or even completely removed if the patient is not pleased with the result (however rare), which might not be the case with transplanted fat that has been integrated in the body.

Procedure

• The incisions are made intra-orally and the paranasal bone is exposed.
• Sometimes the prefabricated implants fill up the defect perfectly, but often some grinding of the implants is necessary to create a pleasing effect.
• Once this is done the implants are being fixed using 2 Titanium screws on either side and the gums are sutured back with dissolvable sutures.

Recovery

• We recommend that you rinse your mouth with mouthwash two to three times a day. You will be given this mouthwash after your surgery. It helps keep your mouth free of bacteria and heals the wound.
• The stitches will have completely dissolved after about two weeks.
• You will also experience the usual side effects of an operation:
  • Swelling (the first two weeks)—Immediately after the surgery, the injected area can be swollen and bruised. To reduce swelling, we recommend sleeping on three pillows so your face is positioned higher than the rest of your body. In about three weeks’ time approximately 80% of the bruising and swelling will have disappeared.
  • Temporary numbness.
  • Your cheeks may feel painful and stiff.
• After two weeks you will get a good impression of what the final result after six months will be.

Possible complications

Perforation of the implant through the mucosa and consequent infection is possible. In those cases the implants need to be removed. After a healing time of about 3 months, new implants could be inserted. But with the right technique for incision, creation of the pocket for the implants and suturing, this, in our hands, has become a rarity.

Frequently asked questions

• What is the cost of facial surgery?

  You can find estimated prices here, after your consultation you will be informed of the exact prices of your operation. Prices are average and may vary depending on: the exact treatment or surgery needed; the exact area you want to have treated; your bone structure; your expectations and wishes...

  We have a specific procedure to get a quote from the doctor. To receive a personalized quote, please visit the following link to see your different options.

• Is there a payment plan or financing option for a surgery?

  No, payments have to be made following our payment policy. It is not possible to pay for a surgery via monthly/... payments.

• What is the cost of a forehead lift?

  You will find all the prices of our treatments and operations here.

• How long will the results of a forehead lift last?

  A forehead lift has a long-term result of 10 to 15 years. Of course you also have to take into account the natural ageing process of the skin as you get older.

• What are the risks of a forehead lift?

  Any disadvantages or possible complications can be found here.

• Who is a suitable candidate for a forehead lift?

  People who suffer from low-set eyebrows, deep frown lines on the forehead and between the eyebrows, drooping eyelids and tension headaches caused by frowning.

• How to prepare for a forehead lift?

  For this procedure, you do not need to make any specific preparations apart from the standard preoperative instructions. You will receive these by email.

• What is the cost of a mid-facelift?

  You will find all the prices of our treatments and operations here.

• How long will the results of a mid-facelift last?

  A mid-facelift is very effective in tightening the skin around the cheeks, and most people are satisfied with the results. The results usually last for about 10 years.

• What are the risks of a mid-facelift?

  Any disadvantages or possible complications can be found here.

• Who is a suitable candidate for a mid-facelift?

  A mid-facelift can be a good option for people who want a more youthful appearance, prominent cheekbones and a radiant look, but who do not require surgery to their jawline or forehead.

We are doing our very best to keep this information up-to-date. In case you see anything that no longer seems accurate, or in case you have a question, please fill out the form below.