livelaughlooksmax
Bronze
- Joined
- Nov 23, 2019
- Posts
- 378
- Reputation
- 563
Follow along with the video below to see how to install our site as a web app on your home screen.
Note: this_feature_currently_requires_accessing_site_using_safari
Perfectly understandable conclusion by Yaremchuk. However I hope he gives patients the chance to differentiate themselves from the braindead idiots wanting to look like blockheads (physiognomy theory?) he undoubtedly encounters on a daily basis.Custom implant manufacturers already allow the patient a seat at the table during the design process, if the surgeon allows.
Patient specific implants in aesthetic applications are obviously relatively new and the industry practices are still evolving. This direct patient input during the design process is turning out to be more of a novelty.
Atlas of Facial Implants 2nd Ed. Was released this year to include a new chapter on CAD/CAM (Computer Assisted Design/Manufacture) Implants. The Author’ (Dr Yaremchuk’s) recommendation is not to include the patient in the design conference as it consistently leads to worse aesthetic outcomes.
The fact of the matter is patients are not actually that knowledgeable of what would look good or understand the what the soft tissue changes will really be from skeletal contouring.
Instead he recommends that patients clearly communicate what they want and he will design that with the engineer.
This makes perfect sense to me as most implant patients during the planning phase are are contemplating how many mm of projection here or there etc.
I have seen a lot of poor implant results online because the patient demanded some odd contour or implant size against the surgeons advice.