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General Category => Functional Surgery Questions => Topic started by: Gregor Samsa on May 15, 2014, 01:27:00 AM

Title: Removing HA grafts
Post by: Gregor Samsa on May 15, 2014, 01:27:00 AM
Is it possible to remove HA grafts? I can't much information about this online.
Title: Re: Removing HA grafts
Post by: Optimistic on May 15, 2014, 01:28:39 AM
Is it possible to remove HA grafts? I can't much information about this online.

Take this with a grain of salt, but according to Mommaerts it's quite easy to remove.
Title: Re: Removing HA grafts
Post by: Gregor Samsa on May 15, 2014, 09:22:00 AM
Anyone know what Arnett and Gunson have to say about it since they have a lot of experience with HA grafts?
Title: Re: Removing HA grafts
Post by: earl25 on May 15, 2014, 12:20:34 PM
its very hard to remove. the tissue integrates and the material is very brittle.theres a a girl on the old ytf forum .she had ha jaw augmentation. sh hated it. it lumped and gave her jowles. she went to 2 top doctors to remove it and pt n implants. the doctorz were unabl to remove all of it.
Title: Re: Removing HA grafts
Post by: Optimistic on May 15, 2014, 04:34:30 PM
its very hard to remove. the tissue integrates and the material is very brittle.theres a a girl on the old ytf forum .she had ha jaw augmentation. sh hated it. it lumped and gave her jowles. she went to 2 top doctors to remove it and pt n implants. the doctorz were unabl to remove all of it.

ytf forum?

Aaaannndddd yet again this forum manages to completely mess with my head. Better I found this out now than after I suppose. I was totally planning on seeing what HA paste could do for a whole range of things like infraorbital rims, malars etc.

I suppose I might need to risk it with a ZSO after all
Title: Re: Removing HA grafts
Post by: LoveofScotch on May 15, 2014, 05:25:39 PM
Even though it has produced some really good results, given the potential problems, is HA paste (grafts) even a good option?

Thanks for posting this question! I was going to ask the same thing.
Title: Re: Removing HA grafts
Post by: Gregor Samsa on May 15, 2014, 05:39:22 PM
ytf forum?

Aaaannndddd yet again this forum manages to completely mess with my head. Better I found this out now than after I suppose. I was totally planning on seeing what HA paste could do for a whole range of things like infraorbital rims, malars etc.

I suppose I might need to risk it with a ZSO after all

I don't think Triaca does augmentation with HA anyway (assuming you're still planning on going with him). As far as I know there are only three maxfac surgeons that use HA for augmentation purposes: Arnett, Gunson and Mommaerts.
Title: Re: Removing HA grafts
Post by: Gregor Samsa on May 15, 2014, 05:41:46 PM
I should mention that Mommaerts uses a different approach with HA than Arnett and Gunson. I'm not sure what exactly Arnett and Gunson do differently but they can shape the HA for weeks after the surgery. I asked Mommaerts about this and he said that he does not do it that way.
Title: Re: Removing HA grafts
Post by: PloskoPlus on May 15, 2014, 05:43:18 PM
Quote from: Disillusioned link=topic=3800.msg24Intraorbita816#msg24816 date=1400196870
ytf forum?

Aaaannndddd yet again this forum manages to completely mess with my head. Better I found this out now than after I suppose. I was totally planning on seeing what HA paste could do for a whole range of things like infraorbital rims, malars etc.

I suppose I might need to risk it with a ZSO after all

ZSO will give you width, by what will it do for  infraorbital rims?
Title: Re: Removing HA grafts
Post by: Optimistic on May 15, 2014, 09:26:39 PM
ZSO will give you width, by what will it do for  infraorbital rims?

I have zygomatic arch width, so that isn't the issue, I wanted a ZSO to create higher and slightly more forward projecting malars.

Infraorbital rims aren't really a concern, my eyes are vertically narrow and I don't have scleral show. I just thought it would be nice to add additional support there.
Title: Re: Removing HA grafts
Post by: PloskoPlus on May 15, 2014, 09:45:21 PM
I have zygomatic arch width, so that isn't the issue, I wanted a ZSO to create higher and slightly more forward projecting malars.

Infraorbital rims aren't really a concern, my eyes are vertically narrow and I don't have scleral show. I just thought it would be nice to add additional support there.

I doubt ZSO has that level of precision.
Title: Re: Removing HA grafts
Post by: Tiny on May 16, 2014, 08:54:46 AM
I don't think Triaca does augmentation with HA anyway (assuming you're still planning on going with him). As far as I know there are only three maxfac surgeons that use HA for augmentation purposes: Arnett, Gunson and Mommaerts.

There are some cosmetic docs that do it, including a couple of the guys at the Singelberg clininc in Belgium.  Incidentally, they also do ZSO and impants (medpor  >:( and silicone) and a form of genioplasty that goes further back on the jaw than traditional
Title: Re: Removing HA grafts
Post by: Optimistic on May 17, 2014, 06:54:55 PM
I doubt ZSO has that level of precision.

Any reason you think that? I'd have thought any max fac operation would have a high degree of precision. After all they're osteotomising the bone and moving it into position manually. How could they not do it precisely?