Does HA damage the tissue and skin on top?

[Lazlo]

The problem is i would need to know more about this case. who did his HA etc. i notice some of the damage is on top of the area that has HA. maybe ha caused it maybe he didnt. for all we know this guys jaw  bone was damaged prior or that was natural .

I had a long conversation with dr. sinn on HA and Eppley . There are diff types of HA granules, cement etc. different companies. in response to the HA moammerts cases they said lord know what he used, fine it was HA but what company, how was it prepared, did he add anything to it etc.

So are you in favor of HA if done by Sinn?

[ditterbo]

I'm not really following here, if the bone looks a bit marbly or however you want to describe it, that probably wouldn't show through unless your super old?  It can't be smoothed out?  Supposedly a medpor implant could be shaved even after it's been in one's chin (per Dr. Stephen Warren), so why not HA if its applied directly to the bone?.  And if you for whatever reason wanted an implant down the line, can't you just get a custom one that would sit properly over the HA paste but outwardly give a normal, smooth implant 'look'? 

[Rico]

prometeus: if the bone displacement is at least 3-4mm you can do osteotomy. You can send me your DICOM files (CT) and some important photos (typical views)  of you and I will be able to calculate exactly how the bone moved after fracture with only 0.5-1mm error

If you have CT before fracture that it makes everything easy

if you want to undergo zygomatic bone reposition, you have to look for a doctor specialised in orbital reconstruction as this is crucial thing when it comes to zygomatic bone repositions. You have 1% chance you will end up with permanent double vision ..when that happen, your surgeon will have to repair that. It's rare but it can happen. Of course such surgeon should have several zygomatic bone repositions by osteotomy in his career. It's rare procedure - you have to know that

and you risk additional damages to your infraorbital nerve ..if it has been already compressed and you lost a bit of feeling

Such procedure for sure is better than HA - more professional, but at the same time a bit more risky for nerves and your eye.
HA paste in not free from long-term side effects

[earl25]

http://exploreplasticsurgery.com/plastic-surgery-case-study-custom-jawline-implant-in-surgically-altered-mandible/

Has anyone actually asked eppley about this case and if HA cause that jaw to be deformed?  Its a case publicly shared on his blog so there shouldn't be any issues with answering questions.