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Types of Prosthesis

Personalized Prosthetics specializes in prostheses for the face but also can fabricate a range of other prosthesis. Please see the links below for more detailed descriptions of some of our prosthesis. 

If you don’t see what you are looking for below it doesn’t mean we can’t help you.  Your first step is to schedule a consultation appointment and the anaplastologist will be happy to discuss your options with you.

Working with other professionals

Your anaplastologist often works closely with other healthcare professionals to optimize your prosthesis.  Sometimes this requires surgery to recontour tissue or place craniofacial implants to increase retention of a prosthesis.  Often, patients have been through many prior surgical procedures and do not wish to undergo further revision.  We respect their decision and will work around the remaining tissue in order to fabricate an acceptable prosthesis.

Auricular (ear) prosthesis

A person may need an auricular (ear) prosthesis for numerous reasons. One of them is congenital deformity. A child can be born with a small/underdeveloped ear (microtia) or completely without an ear (anotia). Common genetic disorders that require an ear prosthesis are hemifacial microsomia (disorder of the lower half of face) or Goldenhar Syndrome (deformities of one side of the face). A person would also need an auricular prosthesis due to unsatisfactory surgical reconstruction or when all/part of the ear has been removed due to cancer or trauma. An auricular prosthesis can be attached using medical grade adhesive or craniofacial implants that require placement by a surgeon.  After the implants heal, your anaplastologist will attach the implants to your prosthesis using a magnet.

Nasal

People require a nasal (nose) prosthesis when all or part of their nose is missing.  Common reasons for removal are tumors, trauma and infections.   A nasal prosthesis can be retained using anatomical features, a medical grade adhesive or craniofacial implants.  There are many different shapes and sizes of noses; your anaplastologist will work with you to make an acceptable outcome.  Common ways to help your anaplastologist design the prosthesis is with photographs.  These photos can show your nose prior to loss or photographs of a family member, friend, or other person whose nose you like. If that person is willing your anaplastologist can directly fabricate your new nose with a mold of that persons nose!

Nasal Obturator

A nasal obturator is a speech enhancing prosthesis that closes the nostrils to decrease airflow. It is typically used for patients with velopharygeal insuffincy  or incompetence (VPI).  The nasal obturator can be used temporarily while awaiting a palatal lift or long term for those who are unable to have a palatal lift.  It can also be used in situations after nasal plastic surgery to keep the nostrils from collapsing during healing.

Orbital (eye) Prosthesis

An orbital prosthesis is made when a patient is missing the eye and surrounding structures such as the eyelid, eyebrow, eyelashes and surrounding skin.   Like other maxillofacial prosthesis an orbital prosthesis may be retained with implants, medical grade adhesive or mechanically retained with anatomical variations.  Eyeglasses are always recommended for protection as well as to camouflage the edges of a prosthesis.  Sometime they can be attached to the prosthesis and used to retain it.   When a communication between the eye and the mouth is present your anaplastologist will work with your dentist to attach your orbital prosthesis to any dental prosthesis that is present.

Finger Prosthesis

We can create a custom fingertip, finger and thumb.  Reasons for loss can be disease, trauma or congenital abnormality.  Finger prostheses are typically held on by suction but can be implant retained if needed.

Gingival (gums) Prosthesis

A gingival prosthesis replaces missing anatomy of the gums.  A person may want to improve their smile because they have gum recession or large black holes due to surgery or gum disease.   The prosthesis is made from a thin, flexible and comfortable silicone that sits on the gums via suction and mechanical retention.

Custom Prosthetic Nipples

When a nipple has been lost and cannot be recreated surgically or a patient doesn’t want a nipple tattoo a prosthetic nipple is a valid option.  The nipple is custom colored to your skin and attaches with medical grade adhesive and in some cases with just suction.  A nipple can typically be made in 2 appointments.

Types of Retention

Adhesive retained prosthesis

Medical grade adhesive is placed on prosthesis every day and glued into place.  At night the adhesive must be removed from prosthesis.   The adhesive can be very strong and patients can typically wear their prosthesis all day without having any problems but every patient is different.  Really oily skin can loosen the bond of the adhesive to skin; lots of sweating can do the same.  It is not recommended to swim in an adhesive retained prosthesis as moisture will loosen the prosthesis from the skin and the potential to lose the prosthesis increases. 

 

Implant retained prosthesis

Titanium implants are surgically placed into the patient’s bone.  A process called osseointegration happens where the implants and bone bond and become a permanent and stable fixture for retention.   Implants do require surgery and a healing time of three to six months before the prosthesis fabrication process can begin.  The anaplastologist will make a surgical guide for the surgeon placing the implants.  The patient will need to see the anaplastologist one to two times before surgery for fabrication of the surgical guide.   Once the patient has an “OK” from their surgeon the anaplastologist will remove the healing abutments and place the real permanent abutments.  The abutments need to be cleaned around every day to for good hygiene.  The prosthesis is retained using magnets or a bar and clip method.  Magnets allow for easier placement of prosthesis, improved retention, thinner edges and decreased wear and tear.

For more information on the implants visit:  http://vistafix.cochlear.com/