Reconstruction for the Facial Middle Third


The reconstruction for the Facial Middle Third is a treatment that is performed mainly in patients who have been victims of trauma such as traffic or sports accidents, assaults or falls.

The face is the part of the body that apart from being our business card, has multiple functionalities. In it are four of the five senses: hearing, taste, smell and sight.

The reconstruction for the Facial Middle Third includes various facial areas such as the malar bone, the orbital floor, the zygomatic arch, and even the nostrils.

We develop custom titanium devices designed and manufactured with the latest 3D technologies for those patients who require reconstruction of the facial middle third such as malars, orbits and zygomatics. On the other hand, biomodels allow you virtual planning, reduce surgical times and better results.

Solutions of the facial middle third

Titanium facial middle third implants

Titanium solutions, designed and manufactured in medical grade titanium, tailored for malar, orbital and zygomatic reconstructions.

The advantages offered by this product are:

  • It integrates perfectly with the fabric.
  • Technical support in implant design. We have a team of designers who will guide the specialist in making the device to obtain the best results.
  • Includes biomodel.
Reconstrucción tercio medio facial

Malar fractures

The malar bone corresponds to the cheekbone and being a prominent area of the face can be seriously injured and easily fractured.

    Among some of the effects that this type of fracture can produce:

  • Difficulty or pain when opening the mouth.
  • Altering the position of the eye or its movements, decreased sight.
  • Lack of feeling in the area around the fracture.

Orbit floor fractures

This structure supports the eye and all the muscles related to its movement. Generally, the fracture is due to the impact of an object against the eye or the eyelids, when exerting pressure on the eyeball, downward pressure is also produced and the floor of the orbit can be fractured.

    Some of the consequences of this fracture are:

  • Double vision.
  • The position of the eye can be altered.
  • Loss of sensation in the area where the fracture has occurred.

Zygomatic arch fractures

The zygomatic arch is in charge of joining the skull with the malar bone. Fractures of the zygomatic arch are usually linked to those of the orbital floor or the malar bone, although on certain occasions they can also be isolated fractures.

    Some of the effects when it comes to an isolated fracture are:

  • Sinking of the side face.
  • It can cause pain when opening the mouth.
  • Incomplete opening of the mouth.

Nasal fractures

The fractures that occur in this area can be very complex, depending on where specifically they occur, the direction and force of the impact.

    Among the symptoms that can occur are:

  • Pain and inflammation.
  • Shortness of breath.
  • Deformation of the nose.
Biomodels for the Reconstruction of the Facial Middle Third

Biomodels are anatomical models derived from a tomographic image of the patient, which allows us to obtain a representative 3D image of the patient's situation. Biomodels provide the surgeon with certain phases prior to surgery, which would otherwise be more complicated or require more effort and time. Among them: convincing the patient to carry out the treatment and precise planning of the surgical procedure. Biomodels can be helpful in planning incisions and osteotomies. In addition, biomodels are clinically proven to reduce surgery times and thus patient exposure to anesthesia and blood loss. In the reconstruction of the facial middle third, since the surgical planning of these fractures is highly complex, biomodels have been shown to optimize planning and, therefore, results.