Design and Fabrication

An aesthetically pleasing and well-fitted prosthesis is dependent on careful planning and attention to detail. The process of designing and fabricating a prosthesis requires a minimum of three office visits, in addition to the initial consultation. Additional appointments may be needed for some types of prostheses and retention methods.

Our process

Based on physical examination, a personal interview, and communication with the referring physician, we develop an individualized patient treatment plan.

• We make a moulage (mold) using gentle impression materials. From the moulage, we produce an accurate model of the patient.
• Next, we create a wax prototype that closely approximates the missing anatomy. The patient tries on the prototype, and together we assess the comfort and contours.
• The prototype is finalized by the sculptural definition of skin characterization and textural detail.
• We develop individualized color formulae to mimic subtle color variations such as freckles and capillaries.
• When the prototype is complete, we fabricate a durable mold, which provides for reproduction of the prosthesis in the selected materials.
• We paint pigmented silicone into the mold in layers to imitate the anatomical layers that comprise the details of the patient’s complexion. This intrinsic coloration technique results in a prosthesis that is natural in appearance.
• The patient tries on the prosthesis and we make necessary adjustments. When appropriate, we individually insert hair to enhance the realistic appearance of the prosthesis.
• We give verbal and written instructions for wear and care of the prosthesis and schedule a follow-up visit. Semi-annual or annual office visits are recommended and may extend the useful life of the prosthesis.