Pyriform augmentation as an ancillary procedure in facial rejuvenation surgery

Joel E. Pessa, Marcus L. Peterson, Jon W. Thompson, C. Spencer Cohran, Jaime R. Garza

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

A patient is presented in whom augmentation of the pyriform aperture of the maxilla was performed with porous hydroxyapatite in concert with a face and brow lift. Basic research has recently shown that remodeling of the facial skeleton continues throughout life and that this remodeling process leads to changes in the position of several key areas. The pyriform aperture was identified as one region that remodels in a posterior direction, leading to retrusion of the alar base in the older individual. This skeletal retrusion occurs in a very site-specific fashion, and its effects are reflected on the overlying soft tissues of the face. With aging, remodeling of the pyriform aperture posteriorly causes the alar base to appear recessed and decreases the nasolabial angle, changes that are noted on the profile of the older individual. Augmentation of the pyriform aperture can be achieved through a buccal sulcus incision and, when used in conjunction with standard facial rejuvenation procedures, can improve the overall result in facial cosmetic surgery.

Original languageEnglish (US)
Pages (from-to)683-686
Number of pages4
JournalPlastic and Reconstructive Surgery
Volume103
Issue number2
DOIs
StatePublished - Feb 1999

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Rejuvenation
Rhytidoplasty
Cheek
Maxilla
Plastic Surgery
Durapatite
Skeleton
Research
daminozide
Direction compound

ASJC Scopus subject areas

  • Surgery

Cite this

Pessa, J. E., Peterson, M. L., Thompson, J. W., Spencer Cohran, C., & Garza, J. R. (1999). Pyriform augmentation as an ancillary procedure in facial rejuvenation surgery. Plastic and Reconstructive Surgery, 103(2), 683-686. https://doi.org/10.1097/00006534-199902000-00050

Pyriform augmentation as an ancillary procedure in facial rejuvenation surgery. / Pessa, Joel E.; Peterson, Marcus L.; Thompson, Jon W.; Spencer Cohran, C.; Garza, Jaime R.

In: Plastic and Reconstructive Surgery, Vol. 103, No. 2, 02.1999, p. 683-686.

Research output: Contribution to journalArticle

Pessa, JE, Peterson, ML, Thompson, JW, Spencer Cohran, C & Garza, JR 1999, 'Pyriform augmentation as an ancillary procedure in facial rejuvenation surgery', Plastic and Reconstructive Surgery, vol. 103, no. 2, pp. 683-686. https://doi.org/10.1097/00006534-199902000-00050
Pessa, Joel E. ; Peterson, Marcus L. ; Thompson, Jon W. ; Spencer Cohran, C. ; Garza, Jaime R. / Pyriform augmentation as an ancillary procedure in facial rejuvenation surgery. In: Plastic and Reconstructive Surgery. 1999 ; Vol. 103, No. 2. pp. 683-686.
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