Can A Midface Implant Cause Maxillary Sinusitis Or Nasal Airway Obstruction?

Q: Dr. Eppley, I want to consider total midface augmentation with custom implant.I know you are one if not the best in the world using implants. I have a question. I suffer for years from chronic allergic rhinitis.I would like to know if a custom midface implant may be effected from allergic or sinusitis. In that case is it any problem if i use implant. Could the implant cause more sinusitis infection or increase allergic symptoms? An opinion from you is very welcome due to your experience.

I thank you in advance

A:Your question concerning any possible adverse connection between a midface implant and the maxillary sinus is a understandable one. While the two are in close proximity there is no direct communication between them. They are separated by the anterior bony wall of the maxillary sinus. The bone thickness of the maxillary sinus wall may be thin but it still serves as a solid separation between the sinus air cavity and where the implant would rest on the bone. So no a midface implant would not cause a maxillary sinus problem nor aggravate an existing sinus condition.

Dr. Barry Eppley

World Renowned Plastic Surgeon