3D Printing in Aesthetic & Reconstructive Plastic Surgery

OREN M. TEPPER, MD

Director of Craniofacial Surgery Director of Aesthetic Surgery

Assistant Professor of Plastic SurgeryAlbert Einstein College of Medicine. Montefiore Medical Center

Conflicts of Interest

• Consultant for Stryker CMF • Shareholder 3DSystems• Shareholder Mirrorme3D

Value of 3D Printing in Healthcare

3D PRINTING

Personalization - Customization

Productivity

Collaboration Innovation

Cost Efficiency

IMAGE ACQUISITION

IMAGE PROCESSING

PRINTING / RAPID PROTOTYPING

PHASES OF 3D PRINTING

• CT/MRI• Stereo-

photogrammetry• Virtual design

• Segmentation• CAD-CAM

• Selective Laser Sintering (SLS)

• Fuse small particles of plastic, metal, ceramic

• Fused Deposition Modeling (FDM)

• Stereolithography (SLA)Liquid photopolymer cured by a UV laser

• Data capture• Internal

– CT scan – MRI– ICAT

• External – Stereophotogrammetry– Structured light– Laser scanner

IMAGE ACQUISITION

• Data capture• Internal

– CT scan – MRI– ICAT

• External – Stereophotogrammetry– Structured light– Laser scanner

IMAGE ACQUISITION

• Data capture• Internal

– CT scan – MRI– ICAT

• External – Stereophotogrammetry– Structured light– Laser scanner

IMAGE ACQUISITION

• Data capture• Internal

– CT scan – MRI– ICAT

• External – Stereophotogrammetry– Structured light– Laser scanner

IMAGE ACQUISITION

POSSIBILITIES

Anatomic Models

REFERENCES

Educational Models

Drug Delivery Devices

GUIDES

Surgical Guide

EXTERNAL DEVICES

Prosthetics

Splints - Dressings

IMPLANTS

Bone / Skull Plates

Tissues / Organs

PERSONAL EVOLUTION OF 3D PRINTING

EVOLUTION OF 3D

3D CT Scan 3D Model OR ReferencePlanning

session

EVOLUTION OF 3D

Virtual Guides / Models

Surgical Simulation

Surgical Guides / Jigs

LOWER JAW RECONSTRUCTION

VIRTUAL PLANNING

JOMFS: 2009

Craniofacial Applications

Facial trauma

Cranial defects Orthognathic

Distraction

FOA/CVR

Complex - Unusual

FACIAL FRACTURES

Fracture reduction and establish occlusion

Phase 1- Virtual Planning

Phase 2 - Modeling

Bandeau jig

Orbito-zygomatic jig

Bone graft template

Splint

Bandeau jig

Orbito-zygomatic jig

Bone graft template

Splint

Phase 3 - Surgical

CRANIOFACIAL DISTRACTION

Mandibular Distraction

Virtual Surgery

Preop Postop – 10 months

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CRANIAL VAULT REMODELING

Preop – with Osteotomies Virtual – New Position

EXPANDING USE IN FIELD

Reconstructive Aesthetic

Value of 3D Printing in Aesthetic Surgery

A paradigm shift

3D printing offers a complete paradigm shift in the plastic surgery experience.

3D printing in plastic surgery

• MirrorMe3D is the first company in the world to bring 3D printing to cosmetic surgery

• Potential impact in cosmetic surgery far exceeds that of reconstructive surgery

Cosmetic

Value of 3D printing in cosmetic surgery

3D prints provide accurate and tactile models available to the

surgeon during surgery

Plastic surgeons rely on standard 2D photos taped to the operating room wall as a reference during

surgery

Standard Approach

+ 3D Printing

• Magazine clips (unrealistic expectations)• Photos of previous patients (poor match)• Hand held mirror (limited views)

• See the real you from all angles• Simulate surgical results • See other actual results in 3D

Operating Room

Office Consultation

Baseline 3D Prints

Simulated 3D Prints

AFTERBEFORE

Media response to MM3D

Business Medicine TechnologyMass Media

Physician products

• Marketing/conversion• Align goals

• Baseline • Simulation

• Standard patients• Existing patients

OR References 3D Displays Consultation Prints

Conclusion

• 3D printing in healthcare is here to stay• Has unique value in Plastic surgery

orenteppermd@yahoo.com

THANK YOU