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Ichilov Medical Center
Plastic Surgery

A New Scar-Free Face – An Innovation in Israeli Plastic Surgery

Is it possible to reconstruct facial bones in Israel without incisions, leaving not a single scar on the face?

Now - yes: Israeli plastic surgeons have recently begun performing such operations, having learned to completely restore the eye sockets, cheekbones, and other areas of the facial bones of patients without using surgical techniques.

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You may ask, how is this even possible? This involves a complex procedure utilizing innovative technologies, such as creating implants using three-dimensional printing and their installation through the eyelid, which allows avoiding damage to the skin of the face. The implants replace all missing fragments of the facial bones, each recreating the lost bone with micron precision.

This new technology is intended for those who have been in serious accidents or have suffered severe facial injuries due to explosions, gunshots, and various other causes, as well as for those who suffer from congenital facial bone deformities, such as asymmetry, and for oncology patients whose facial bones have been destroyed due to tumor development or as a result of surgery to remove it.

Problems of the Past

The new method not only helps solve the problem of scars left after surgery, but the benefits of its application are much greater.

Previously, if a facial injury resulted in the loss of an eye and a prosthetic eye was installed, it was rarely possible to achieve symmetrical placement, and reconstructing damaged nerves, blood vessels, and tear glands was also not always successful. This is not surprising, as if multiple implants were required, surgeons had to install each one during separate operations, and decisions about how and where to place them were made during the operation itself, making it longer, less precise, and causing greater trauma to the patient's body. Today, reconstructing facial bones in Israel can be done in a way that is easier for the patient.

The new method not only allows for an aesthetic appearance for the patient but also simplifies the task of overall reconstruction of the affected area.

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Minimal Intervention, Maximum Result

So what is the secret of the new method?

The secret lies in the use of several cutting-edge medical technologies.

It all starts with a CT scan of the face and planning using a specially developed computer program that creates a mirrored three-dimensional image of the healthy half of the face and “drapes” it over the injured part. This allows doctors to determine which fragments are missing and to fit them precisely.

Patient Specific Implant Technology in Israel

Surgery for cancer removal on an extracted heartUsing PSI (Patient Specific Implant) technology, missing fragments of facial bones are printed on a 3D printer. Implants are created using the most advanced three-dimensional printing technology from a special material called PEEK (Polyether ether ketone). This material is not rejected by the body's tissues, is almost as strong as bone, and is sufficiently flexible to be shaped and adjusted during the operation, creating a cohesive whole. Since the planning of the entire process occurs beforehand and only one operation is required, the patient undergoes this procedure much more easily, and it is performed with much greater precision. The creation of facial implants in Israel happens quite quickly: even for complex cases, it takes only 12 hours.

To insert the implants, the surgeon makes a tiny incision at the edge of the eye and on the inner side of the eyelid. If not closely inspected from a short distance, these incisions are almost impossible to see after the operation.

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