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We present a technique for maxillary distraction using an interconnecting intraoral device anchored to the malar prominences above the osteotomy and either the maxilla and/or the dentition below the level of the osteotomy.
Redefining malar prominences, softening nasolabial folds and replacing loss of volume in the cheeks has the potential to dramatically alter facial appearance.
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Specifically, Dr. Brown said, what makes Ms. Dunaway's face ideal is the classical proportion of the triangle formed by the canthus (corner of the eye), the malar prominence (cheekbone) and the lateral brow.
She presents proptosis, malar prominence and short stature.
Malar mounds in contrast are discrete soft tissue convexities that bulge directly outward from the malar prominence [ 2, 3].
Characteristically, there are flattening of the occiput contralaterally and depression of the malar prominence ipsilaterally, with downward displacement of the ear, eye and mouth on the affected side.
Multiple factors have been implicated in the formation of baggy eyelids including orbital fat prolapse, eyelid fluid, tear trough depression, loss of skin elasticity, orbicularis prominence, and a triangular malar mound [ 4].
Goldberg et al. [ 4] reported that baggy eyelids are caused by a combination of several factors including orbital fat prolapse, eyelid fluid, tear trough depression, loss of skin elasticity, orbicularis prominence, and a triangular malar mound.
All of the patients presented preoperatively prominents nasolabial folds, malar fat pad ptosis.
Locus Malar.
Malar space 91 µm, malar sulcus present.
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