Questions/Answers

How can I get an episthesis?

Generally speaking, patients are referred to us on medical prescription by a doctor specialising in ENT and cervico-facial surgery, ophthalmology, plastic surgery or maxillofacial surgery.

You can make an appointment with the Centre for Facial Prostheses - Centre d'Epithèses Faciales (+33 (0)3 88 56 98 33) or contact us via our website.

Is an epithesis a lifelong rehabilitation?

An epithesis or prosthesis is an alternative to cosmetic reconstructive surgery. In other words, a prosthesis replaces surgery when surgery is not a viable solution, not wanted by the patient or if the patient has to wait for the surgical operation to be performed. 
The prosthesis covers the missing part or cavity, which is therefore protected. It can be taken off and put back on again easily and enables the doctor to monitor the area and make sure the healing process is proceeding smoothly.
A facial epithesis may therefore be made for temporary usage while waiting for surgery or it may be a lifelong solution.

How is a prosthesis attached?

Most of our prostheses are anchored to the bone. This means that implants are put in place by the surgeon in collaboration with the prosthetist so that the prosthesis is held securely in place, in most cases by magnets.

Sometimes an epithesis is attached directly onto the skin using a biological adhesive. This is sometimes a temporary solution while waiting for reconstruction surgery or for implants to be fitted.

Finally, in rare cases, an epithesis is fixed onto a glasses frame. This is usually a temporary solution when other means of attaching the prosthesis are not feasible for the time being.

what are implants?

Implants are used to anchor the epithesis to the bone. They are small titanium screws set into position in the bone by the surgeon. Abutments (passing through the skin) are screwed into these implants. Magnets keepers are then put into place, or else the implants are clipped onto a gold bar. The magnets or clips are located on the back of the prosthesis and hold it firmly in place.

How much does it cost?

Each prosthesis is unique and made to measure according to each case. The price of a prosthesis can vary considerably and is calculated taking into account several factors, such as your particular problem, the raw materials used, the number and type of magnets, silicones, resins etc., the complexity of the sculpture and how long it takes, the number of appointments necessary, the complexity of the design and production of the mould, adaptation, the techniques involved and the use of new technologies.

An estimate is drawn up after the first consultation or once be surgeon has fitted the implants, according to each case.

For the intervention to be covered by the national health service, prior approval has to be obtained.