Medical Tourism Blog
Korea Paranasal Implant: Solution for Weak Midface Structure with Advanced Procedures
Table of contents
- Paranasal Implants: A Detailed Medical Procedure
- Best Clinics in Korea for Weak Midface Structure
- Medical Tourism in South Korea: Process and Costs
- Patient Outcomes and Experiences
- Conclusion
- References
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The term "weak midface structure" describes a range of concerns affecting the central part of the face, medically known as midfacial hypoplasia. This section explains what midfacial hypoplasia is, clarifies common terms patients use, outlines the causes, and discusses how it impacts both facial appearance and function.
Midfacial hypoplasia is defined as the underdevelopment of the upper jaw (maxilla), cheekbones (zygoma), and eye sockets (orbits) compared to the rest of the face. Often linked to conditions like craniosynostosis or certain syndromes, this underdevelopment shapes how the eyes, teeth, and cheeks appear and function.
A weak midface structure can be seen in a "bulgy" or "bug-eyed" look, a flat or hollow appearance in the cheeks, or malocclusion (with the upper and lower teeth not aligning, resulting in an "underbite"). These aesthetic changes can give an aged or undefined look.
Beyond appearances, midfacial hypoplasia can affect health. Severe cases might result in eyes that cannot close fully, leading to eye dryness (keratoconjunctivitis). Misaligned teeth can make chewing difficult, and significant structural deficiencies might cause severe snoring or obstructive sleep apnea (OSA), impacting overall health.
It's important to recognize that midfacial hypoplasia ranges from mild to severe, with some individuals experiencing mostly cosmetic concerns, and others facing medical complications. The interconnectedness of the upper jaw, cheekbones, and eye sockets means that underdevelopment in one area can influence others, emphasizing the need for a comprehensive treatment approach.
Common Pseudonyms and Layman's Terms
Patients use a variety of non-medical terms to describe midface concerns, such as "weak midface structure" and "insufficient anterior cheek support." Other phrases include "flat mid face," "sunken nasolabial folds," "pyriform depression," and "midface concavity." Terms like "protruded mouth," "sunken face," and "lateral facial volume deficiency" also appear frequently in patient discussions.
This variety reflects how individuals often focus on visible symptoms rather than the underlying cause. Translating these lay terms into precise medical diagnoses, like "midfacial hypoplasia" or "pyriform aperture deficiency," is crucial for effective treatment recommendations and setting realistic expectations.
| Medical Term | Layman Terms/Pseudonyms | Associated Characteristics/Symptoms |
|---|---|---|
| Midfacial Hypoplasia | Weak midface structure | Bulgy/bug-eyed appearance, Underbite |
| Insufficient anterior cheek support | Snoring, sleep apnea, Dry eyes, Malocclusion | |
| Flat mid face | Aged appearance, lack of definition | |
| Sunken nasolabial folds | Deep laugh/smile lines | |
| Pyriform depression | Perceived underbite | |
| Midface concavity | Acute columellar-labial angle | |
| Paranasal depression | Reduced upper teeth show | |
| Protruded mouth | Flattening/concavity on profile | |
| Sunken face | "DAO smile" (downturned corners) | |
| Lateral facial volume deficiency | "Horizontal smile" |
Etiology: Genetic, Congenital, and Acquired Factors
Weak midface structure can result from congenital (present at birth), genetic, or acquired factors. It’s common in families, reflecting its genetic aspect. Certain syndromes, such as Crouzon, Apert, Marshall-Stickler, and Pfeiffer, are associated with midfacial hypoplasia. It also occurs in individuals with cleft palate or Achondroplasia, and infants lacking buccal fat pads can have trouble feeding due to structural deficiency.
Acquired causes include aging, which leads to volume loss under the muscles due to bone or fat loss, and trauma, which can leave the midface appearing flat or hollow. Both inherited and age-related changes call for a diagnostic approach that distinguishes cause before tailoring treatment strategies.
Structural deficiencies like "insufficient anterior cheek support" affect facial mechanics as well, leading to altered muscle movement and smile dynamics, adding a functional angle to these concerns.
Functional and Aesthetic Implications of Insufficient Anterior Cheek Support
Insufficient anterior cheek support can cause a hollowed or aged facial appearance, resulting in deep smile lines and a protruded mouth look. Changes in support also affect muscle function, which can lead to a "DAO smile" (downturned corners) or an overly "horizontal smile." A "gummy smile" may occur where the upper lip moves excessively.
Functionally, the loss of firm support for mimetic muscles diminishes their effectiveness, causing skin sagging and further stretching muscles out of optimal position, leading to loss of tension and more facial laxity. Severe cases can compromise breathing during sleep, contributing to OSA. Directly addressing the foundational deficiency with implants or grafts helps restore both appearance and function, surpassing superficial treatments.
When to Consider Intervention: Medical vs. Aesthetic Motivations
Intervention for weak midface structure may be motivated by medical need or aesthetics. Medical reasons include eye dryness from incomplete eyelid closure, significant malocclusion not addressed by orthodontics alone, and obstructive sleep apnea. On the aesthetic side, patients might want to enhance midface definition, resolve a hollow appearance, or improve overall balance and profile.
Treatment motivations often overlap, with cosmetic patients discovering hidden functional issues and vice versa. A thorough pre-operative evaluation should consider both, supporting a holistic approach that meets both appearance and health goals.
Paranasal Implants: A Detailed Medical Procedure
Paranasal implants offer a targeted solution for augmenting the midface, improving facial harmony and, in some cases, function. Here, we explore the purpose, ideal candidates, surgical techniques, implant materials, and what to expect before and after surgery.
What are Paranasal Implants? Purpose and Candidacy
Paranasal implant surgery is a focused cosmetic procedure to build up the area alongside the nose—specifically around the maxillary sinuses. Sometimes called "Pyriform Surgery," this technique enhances sunken nasolabial folds, increases lower face convexity, and makes the nose less prominent for a balanced profile.
Paranasal implants are ideal for people bothered by a flat or hollow midface, whether due to genetics, aging, trauma, or skeletal insufficiency. Conditions like an acute columellar-labial angle, deep laugh lines, or an apparent underbite signal someone may benefit from this surgery. The results often ripple outward, improving the nasal appearance and decreasing the need for more extensive procedures by harmonizing facial features.
Surgical Techniques for Paranasal Augmentation
Implant Insertion: Step-by-Step Surgical Process
- Consultation and Planning: A detailed discussion with the surgeon defines goals. Imaging may help visualize expected outcomes.
- Incision and Dissection: Small incisions are made inside the mouth under the upper lip, avoiding visible scars. Dissection creates a pocket for the implant.
- Implant Insertion and Positioning: Crescent-shaped implants are placed and aligned precisely. On average, implants are about 6.5 mm thick, resulting in a 4.4 mm increase in paranasal height.
- Fixation and Closure: Depending on fit, fixation may or may not be necessary. If so, small screws secure the implant, followed by careful closure of tissues.
- Anesthesia and Duration: The procedure takes about 15–30 minutes and may use local or general anesthesia.
- Post-Surgical Care and Recovery: Swelling, tenderness, or bruising may follow. An overnight stay may be recommended, with stitch removal after 5–7 days. Full activity resumes in about 4–5 days, though residual swelling may linger for weeks.
Alternative Augmentation Methods
- Fat Grafting: Fat from another area is injected to restore volume. It’s semi-permanent and uses the patient's own tissue, although repeat treatments may be needed.
- Filler Injection: Ideal for milder cases, fillers offer immediate, though temporary, results lasting several months.
- Autologous Bone or Cartilage Grafts: Bone or cartilage from the patient is shaped and placed in the midface. This results in a long-lasting, natural appearance, though it’s more invasive and requires donor material.
Implant Materials
Common implant materials include silicone, Gore-Tex (ePTFE), and Medpor.
- Silicone is easily shaped and removed but does not integrate into surrounding tissue, posing risks of shifting.
- Gore-Tex is microporous, encouraging tissue in-growth, which reduces the risk of movement. It is softer than silicone and somewhat easier to remove than Medpor.
- Medpor is rigid, biocompatible, and integrates completely with the surrounding tissue, leading to stability. However, it is less easily shaped during surgery.
Other options include hydroxyapatite, Proplast, titanium, PEEK, and PMMA. Implants are available as pre-made shapes or custom-designed PSIs built from imaging for a perfect anatomical fit. Patient-specific implants may lower complications.
Pre- and Post-Operative Considerations
Pre-Operative: A full medical assessment, including blood tests and 3D imaging, is required. Expectations and surgical options are reviewed.
Post-Operative: Swelling, bruising, and numbness in the upper lip are common but usually resolve. An overnight stay may be part of the care package. Most patients return to normal life in under a week, avoiding strenuous activities for 4–6 weeks. Follow-up visits ensure healing and identify any concerns early.
Best Clinics in Korea for Weak Midface Structure
Listed below are the best clinics in Korea for weak midface structure:
| Clinic Name | Key Features | Special Techniques |
|---|---|---|
| THEPLUS Plastic Surgery Website | Located in the Garosu-gil district of Gangnam, Seoul, THE PLUS Plastic Surgery is a research-driven, four-floor facility offering seamless care from consultation through surgery and post‑operative skincare. Renowned for rhinoplasty, revision rhinoplasty, and facial contouring, the clinic is particularly well suited to address weak midface structure by leveraging techniques such as customized facial implants, cheekbone surgery, fat grafting, and nose reshaping to restore projection and achieve balanced, natural-looking harmony. The surgeons actively publish in journals and textbooks and present at domestic and international symposiums, reflecting a commitment to innovation, safety, and clear, personalized communication. | Customized facial implants; cheekbone surgery; fat grafting; nose reshaping. |
| Soonplus Plastic Surgery Website | Soonplus Plastic Surgery in Apgujeong is the best choice in Korea for addressing a weak midface structure because it offers a comprehensive, personalized approach that blends structural enhancement with fine-detail rejuvenation. Our expert team tailors treatment plans that can combine paranasal augmentation to support the area around the nose and mouth, fat grafting to restore midface volume and soften nasolabial folds, and [SMAS facelift](/blog/smas-facelift-korea) or thread lift techniques to elevate descended tissues for long‑lasting contour. When needed, cheekbone (zygomatic) contouring refines lateral prominence while improving central balance, and targeted eye procedures—such as eyebag/dark circle correction, ptosis correction, and medial/lateral canthoplasty—create a smooth transition from the lower eyelid to the cheek. To harmonize facial proportions, we also offer rhinoplasty and chin augmentation, while dermatologic options like fillers, lifting lasers, and skin boosters provide precise, minimally invasive finishing touches. With the full spectrum of surgical, non-surgical, and revision solutions under one roof and a steadfast commitment to individualized care, Soonplus delivers natural, balanced results for patients seeking definitive improvement of midface weakness. | Paranasal augmentation; fat grafting; SMAS facelift; thread lift; cheekbone (zygomatic) contouring; eyebag/dark circle correction; ptosis correction; medial/lateral canthoplasty; rhinoplasty; chin augmentation; fillers; lifting lasers; skin boosters. |
| Petit Party Clinic Website | Petit Party Clinic in Seolleung is renowned for delivering thoughtful, confidence-boosting cosmetic care with a focus on enhancing natural beauty. For individuals concerned about a weak midface structure, the clinic offers a coordinated approach that targets volume, contour, and skin support across the cheeks, lower eyelids, and surrounding tissues—areas central to a balanced, youthful appearance. | Dual Undereye Fat Transfer; Upper Blepharoplasty; AcuV-Lifting; GPC Fox Line Injection; FATBRA (Chest Autofat Transplant). |
THEPLUS Plastic Surgery
Located in the Garosu-gil district of Gangnam, Seoul, THE PLUS Plastic Surgery is a research-driven, four-floor facility offering seamless care from consultation through surgery and post‑operative skincare. Renowned for rhinoplasty, revision rhinoplasty, and facial contouring, the clinic is particularly well suited to address weak midface structure by leveraging techniques such as customized facial implants, cheekbone surgery, fat grafting, and nose reshaping to restore projection and achieve balanced, natural-looking harmony. The surgeons actively publish in journals and textbooks and present at domestic and international symposiums, reflecting a commitment to innovation, safety, and clear, personalized communication.
This expertise is led by director surgeons Dr. Kim Taek Kyun and Dr. Jeong Jae Yong. Dr. Kim is a board-certified plastic surgeon and global society member, a leading authority in rhinoplasty and facial contouring whose award-winning research on 3D implants and authorship of Rebuilding Nose inform nuanced midface solutions; he also runs annual educational sessions and prioritizes harmonious facial balance to enhance existing features. Dr. Jeong, President of the Korean Society of Plastic Surgeons and a specialist in primary and revision rhinoplasty, frequently lectures and serves on panels worldwide, advancing an ethos that unites function and beauty in every case. The team also includes Dr. Lee, a board-certified breast augmentation specialist with experience at top national hospitals, underscoring the clinic’s depth and dedication to natural, long-lasting results.
You can check out their website here: THEPLUS Plastic Surgery Website
Soonplus Plastic Surgery
Soonplus Plastic Surgery in Apgujeong is the best choice in Korea for addressing a weak midface structure because it offers a comprehensive, personalized approach that blends structural enhancement with fine-detail rejuvenation. Our expert team tailors treatment plans that can combine paranasal augmentation to support the area around the nose and mouth, fat grafting to restore midface volume and soften nasolabial folds, and SMAS facelift or thread lift techniques to elevate descended tissues for long‑lasting contour. When needed, cheekbone (zygomatic) contouring refines lateral prominence while improving central balance, and targeted eye procedures—such as eyebag/dark circle correction, ptosis correction, and medial/lateral canthoplasty—create a smooth transition from the lower eyelid to the cheek. To harmonize facial proportions, we also offer rhinoplasty and chin augmentation, while dermatologic options like fillers, lifting lasers, and skin boosters provide precise, minimally invasive finishing touches. With the full spectrum of surgical, non-surgical, and revision solutions under one roof and a steadfast commitment to individualized care, Soonplus delivers natural, balanced results for patients seeking definitive improvement of midface weakness.
Find more about this clinic here: Soonplus Plastic Surgery Website
Petit Party Clinic
Petit Party Clinic in Seolleung is renowned for delivering thoughtful, confidence-boosting cosmetic care with a focus on enhancing natural beauty. For individuals concerned about a weak midface structure, the clinic offers a coordinated approach that targets volume, contour, and skin support across the cheeks, lower eyelids, and surrounding tissues—areas central to a balanced, youthful appearance.
Key options include Dual Undereye Fat Transfer to smooth and brighten hollow or tired-looking undereyes, Upper Blepharoplasty to refine upper eyelid heaviness for a refreshed frame to the midface, AcuV-Lifting to tighten and elevate tissues for a more defined V-line and improved elasticity, and the GPC Fox Line Injection to sharpen contours and subtly lift for a sleeker look. The clinic’s comprehensive capabilities also extend to body contouring with FATBRA (Chest Autofat Transplant) for patients seeking natural enhancement beyond the face. Visit Petit Party Clinic to discover tailored treatments designed to enhance your natural beauty and boost your self-esteem under the care of experienced medical professionals.
Find more about this clinic here: Petit Party Clinic Website
Medical Tourism in South Korea: Process and Costs
South Korea is a leading hub for plastic surgery, especially facial procedures. International patients benefit from modern facilities, expert surgeons, and competitive, often all-inclusive pricing.
Process for Foreign Patients
- Initial Research and Clinic Selection: Patients research online, aided by clinics with multilingual staff and virtual consultations.
- Pre-Procedure Logistics and Visa: Clinics help with travel, accommodation, and visa paperwork, sometimes including airport pickups and tours.
- Onsite Consultation: Upon arrival, the patient undergoes in-person assessment, imaging, and medical tests.
- Surgical Procedure: Paranasal implant surgery is performed with careful attention to a natural look, under local or general anesthesia.
- Post-Operative Recovery: Patients stay in Korea for follow-up care, usually ranging from a few days to several weeks, before returning home.
Costs and Comparison
Cost in South Korea
The price of paranasal implants in South Korea typically spans $2,000–$4,000 USD (2.9–5.8 million KRW). Pricing depends on the surgeon, clinic location, implant material, and procedural complexity. Packages typically include the hospital stay, pre-op tests, post-op care, and medications, reducing hidden or unexpected expenses.
Cost Comparison with Other Countries
Paranasal and related implants are more affordable in South Korea than in Western countries. For instance, chin implants cost around $3,900 in Seoul compared to up to $8,795 in the US. Similar savings apply to cheek implants and rhinoplasty, with South Korea often up to 70% less expensive than the US or Australia, even after travel. Governmental support and a culture that embraces cosmetic improvement further reduce barriers for medical tourists.
Patient Outcomes and Experiences
Patients who undergo paranasal implant procedures generally report significant improvements in appearance and self-confidence, as the surgery addresses core structural issues of weak midface structure.
Addressing Weak Midface Structure
Paranasal implants increase projection at the pyriform rim and central maxillary bone. By reducing midface concavity and shoring up nasolabial folds, these implants improve not only the profile but also facial balance, correcting a protruded mouth and enhancing the definition of the nose and lips for a more youthful look.
Patient Satisfaction and Reported Benefits
Studies note high satisfaction rates among both patients and surgeons. Most report better lateral profiles, improved self-esteem, and a natural result that avoids an “over-done” look. Intraoral incisions keep scarring minimal and virtually invisible.
Potential Complications and Patient Concerns
Complications are rare but may include infection, implant shifting, asymmetry, or temporary numbness. Some patients notice minor changes around the nose or lips, or feel stiffness when smiling. These issues are usually manageable, especially when the procedure is performed by an experienced surgeon and post-operative care is followed diligently.
Conclusion
Weak midface structure (midfacial hypoplasia) is a multi-faceted concern with cosmetic and functional dimensions. Paranasal implant surgery offers a direct, customizable, and generally safe solution for restoring facial balance and function. South Korea stands out as a destination due to its expert surgeons, comprehensive care, and affordable costs. Patients typically enjoy high satisfaction with improvements in both appearance and confidence, while risks are manageable and minimized through proper surgical technique and aftercare.
References
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