A facial prosthetic or facial prosthesis is an artificial device used to change or adapt the outward appearance of a person's face or head.
When used in the
theater
Theatre or theater is a collaborative form of performing art that uses live performers, usually actors to present experiences of a real or imagined event before a live audience in a specific place, often a stage. The performers may communi ...
,
film
A film, also known as a movie or motion picture, is a work of visual art that simulates experiences and otherwise communicates ideas, stories, perceptions, emotions, or atmosphere through the use of moving images that are generally, sinc ...
, or
television
Television (TV) is a telecommunication medium for transmitting moving images and sound. Additionally, the term can refer to a physical television set rather than the medium of transmission. Television is a mass medium for advertising, ...
industry, facial
prosthetic makeup
Prosthetic makeup also known as special makeup effects or FX prosthesis, is the process of using prosthetic sculpting, molding and casting techniques to create advanced cosmetic special effects, effects. Prosthetics are used on stage and screen ...
alters a person's normal face into something extraordinary. Facial
prosthetic
In medicine, a prosthesis (: prostheses; from ), or a prosthetic implant, is an artificial device that replaces a missing body part, which may be lost through physical trauma, disease, or a condition present at birth (Congenital, congenital disord ...
s can be made from a wide range of materials, including
gelatin
Gelatin or gelatine () is a translucent, colorless, flavorless food ingredient, commonly derived from collagen taken from animal body parts. It is brittle when dry and rubbery when moist. It may also be referred to as hydrolyzed collagen, coll ...
,
foam latex
Foam latex or latex foam rubber is a lightweight form of latex containing bubbles known as cells, created from liquid latex. The foam is generally created though the Dunlop or Talalay process in which a liquid latex is foamed and then cured in a ...
,
silicone
In Organosilicon chemistry, organosilicon and polymer chemistry, a silicone or polysiloxane is a polymer composed of repeating units of siloxane (, where R = Organyl group, organic group). They are typically colorless oils or elastomer, rubber ...
, and cold foam. Effects can be as subtle as altering the curve of a cheek or nose, or making someone appear older or younger than they are. A facial prosthesis can also transform an actor into any creature, such as
legendary creature
A legendary creature is a type of extraordinary or supernatural being that is described in folklore (including myths and legends), and may be featured in historical accounts before modernity, but has not been scientifically shown to exist.
In t ...
s,
animal
Animals are multicellular, eukaryotic organisms in the Biology, biological Kingdom (biology), kingdom Animalia (). With few exceptions, animals heterotroph, consume organic material, Cellular respiration#Aerobic respiration, breathe oxygen, ...
s, and others.
To apply facial prosthetics, Pros-Aide, Beta Bond, medical adhesive, or
liquid latex
Liquid latex is a compound often used for special effects Cosmetics, makeup, body painting, mask making, and casting applications.
Composition
Liquid latex is usually made of 33% latex, 66% water, and less than 1% ammonia (to increase its she ...
is generally used. Pros-Aide is a water-based adhesive that has been the "industry standard" for over 30 years. It is completely waterproof and is formulated for use with sensitive skin. It is easily removed with Pros-Aide Remover. BetaBond is growing in popularity among Hollywood artists who say it is easier to remove. Medical adhesive has the advantage that it is specifically designed not to cause allergies or skin irritation. Liquid latex can only be used for a few hours, but can be used to create realistic blends from skin to prosthetics.
After application,
cosmetics
Cosmetics are substances that are intended for application to the body for cleansing, beautifying, promoting attractiveness, or altering appearance. They are mixtures of chemical compounds derived from either Natural product, natural source ...
and/or paint is used to color the prosthetics and skin the desired colors, and achieve a realistic transition from skin to prosthetic. This can be done by the wearer, but is often done by a separate, trained artist.
At the end of its use, some prosthetics can be removed simply by being pulled off. Others need special solvents to help remove the prosthetics, such as Pros-Aide Remover (water based and completely safe) for Pros-Aide, Beta Solv for Beta Bond, and medical
adhesive remover
Adhesive remover is a substance intended to break down and remove glue and its remnants from surfaces.
Description
Adhesive removers are intended to break down glue so that it can be removed from surfaces easily. Formulations may be designed t ...
for medical adhesive.
Prosthetic make-up is becoming increasingly popular for everyday use. This kind of make-up is used by people who wish to significantly alter their features.
History of facial prosthetics
Emergence in ancient history
It began not after antiquity where the face was worn with artificial parts despite the lack of proof in the theory. It has been found that
archaeologists
Archaeology or archeology is the study of human activity through the recovery and analysis of material culture. The archaeological record consists of Artifact (archaeology), artifacts, architecture, biofact (archaeology), biofacts or ecofacts, ...
stumbled upon an
artifact that was false inside a skull's left eye socket in
Iran
Iran, officially the Islamic Republic of Iran (IRI) and also known as Persia, is a country in West Asia. It borders Iraq to the west, Turkey, Azerbaijan, and Armenia to the northwest, the Caspian Sea to the north, Turkmenistan to the nort ...
that goes way back around 3000–2900 B.C. Traces of thread were seen on the eye socket. When the person of the head skull died, the false eye was inserted. Gold masks were found on
mummies
A mummy is a dead human or an animal whose soft tissues and Organ (biology), organs have been preserved by either intentional or accidental exposure to Chemical substance, chemicals, extreme cold, very low humidity, or lack of air, so that the ...
in
ancient Egypt
Ancient Egypt () was a cradle of civilization concentrated along the lower reaches of the Nile River in Northeast Africa. It emerged from prehistoric Egypt around 3150BC (according to conventional Egyptian chronology), when Upper and Lower E ...
tomb
A tomb ( ''tumbos'') or sepulchre () is a repository for the remains of the dead. It is generally any structurally enclosed interment space or burial chamber, of varying sizes. Placing a corpse into a tomb can be called '' immurement'', alth ...
s around 2500 B.C., cosmetic
gold
Gold is a chemical element; it has chemical symbol Au (from Latin ) and atomic number 79. In its pure form, it is a brightness, bright, slightly orange-yellow, dense, soft, malleable, and ductile metal. Chemically, gold is a transition metal ...
and
silver
Silver is a chemical element; it has Symbol (chemistry), symbol Ag () and atomic number 47. A soft, whitish-gray, lustrous transition metal, it exhibits the highest electrical conductivity, thermal conductivity, and reflectivity of any metal. ...
coins were present. The revelation of these findings are the start of the knowledge of the skill of facial prosthetics and in the ancient times focused on the social priority of the face. Body parts such as noses, ears and hands were a way as punishment for adultery in ancient India. In the
Vedic period
The Vedic period, or the Vedic age (), is the period in the late Bronze Age and early Iron Age of the history of India when the Vedic literature, including the Vedas (–900 BCE), was composed in the northern Indian subcontinent, between the e ...
, a well-known disquisition on the Indian treatments named The
Sushruta Samhita
The ''Sushruta Samhita'' (, ) is an ancient Sanskrit text on medicine and one of the most important such treatises on this subject to survive from the ancient world. The ''Compendium of Sushruta, Suśruta'' is one of the foundational texts of ...
, had done a report of the nasal pyramid with a cutaneous flap had been taken from the frontal region which shows signs of surgical reconstruction. The luck of it succeeding was not as high compared to these days. Hence, showing theories on prosthetic reconstructions attempts in history that are possibly not reported.
Around 1810–1750 B.C., in
Mesopotamia
Mesopotamia is a historical region of West Asia situated within the Tigris–Euphrates river system, in the northern part of the Fertile Crescent. Today, Mesopotamia is known as present-day Iraq and forms the eastern geographic boundary of ...
, it was found that punitive mutilations by King
Hammurabi
Hammurabi (; ; ), also spelled Hammurapi, was the sixth Amorite king of the Old Babylonian Empire, reigning from to BC. He was preceded by his father, Sin-Muballit, who abdicated due to failing health. During his reign, he conquered the ci ...
were done despite his medical and morality being recognized. The people that had
mutilated
Mutilation or maiming (from the ) is severe damage to the body that has a subsequent harmful effect on an individual's quality of life.
In the modern era, the term has an overwhelmingly negative connotation, referring to alterations that rend ...
others had been retaliated by punishment which had restored lost parts which encouraged a few attempts at surgical
grafting
Grafting or graftage is a horticulture, horticultural technique whereby tissues of plants are joined so as to continue their growth together. The upper part of the combined plant is called the scion () while the lower part is called the roots ...
. There was barely any mention of facial prosthesis in the writings of the
Greco-Roman period
The Greco-Roman world , also Greco-Roman civilization, Greco-Roman culture or Greco-Latin culture (spelled Græco-Roman or Graeco-Roman in British English), as understood by modern scholars and writers, includes the geographical regions and co ...
. Long bone fracture reductions and restraints were more interesting to
Hippocrates
Hippocrates of Kos (; ; ), also known as Hippocrates II, was a Greek physician and philosopher of the Classical Greece, classical period who is considered one of the most outstanding figures in the history of medicine. He is traditionally referr ...
,
Galen
Aelius Galenus or Claudius Galenus (; September 129 – AD), often Anglicization, anglicized as Galen () or Galen of Pergamon, was a Ancient Rome, Roman and Greeks, Greek physician, surgeon, and Philosophy, philosopher. Considered to be one o ...
, and
Celsus
Celsus (; , ''Kélsos''; ) was a 2nd-century Greek philosopher and opponent of early Christianity. His literary work '' The True Word'' (also ''Account'', ''Doctrine'' or ''Discourse''; Greek: )Hoffmann p.29 survives exclusively via quotati ...
than the treatment in maxillofacial defects.
Facial prostheses of the kings in post-classical history
The
Byzantines in the
Middle Ages
In the history of Europe, the Middle Ages or medieval period lasted approximately from the 5th to the late 15th centuries, similarly to the post-classical period of global history. It began with the fall of the Western Roman Empire and ...
believed that an individual would not be able to have become an
emperor
The word ''emperor'' (from , via ) can mean the male ruler of an empire. ''Empress'', the female equivalent, may indicate an emperor's wife (empress consort), mother/grandmother (empress dowager/grand empress dowager), or a woman who rules ...
if his or her nose was severed (a punishment known as a "rhinokopia"). Emperor
Leontius
Leontius (; died 15 February 706) was Byzantine emperor from 695 to 698. Little is known of his early life, other than that he was born in Isauria in Asia Minor. He was given the title of ''patrikios'', and made ''strategos'' of the Anatolic T ...
ordered the mutilation of
Justinian II
Justinian II (; ; 668/69 – 4 November 711), nicknamed "the Slit-Nosed" (), was the last Byzantine emperor of the Heraclian dynasty, reigning from 685 to 695 and again from 705 to 711. Like his namesake, Justinian I, Justinian II was an ambitio ...
's nose.
In 1000,
Holy Roman Emperor
The Holy Roman Emperor, originally and officially the Emperor of the Romans (disambiguation), Emperor of the Romans (; ) during the Middle Ages, and also known as the Roman-German Emperor since the early modern period (; ), was the ruler and h ...
Otto III
Otto III (June/July 980 – 23 January 1002) was the Holy Roman emperor and King of Italy from 996 until his death in 1002. A member of the Ottonian dynasty, Otto III was the only son of Emperor Otto II and his wife Theophanu.
Otto III was c ...
visited the tomb of
Charlemagne
Charlemagne ( ; 2 April 748 – 28 January 814) was List of Frankish kings, King of the Franks from 768, List of kings of the Lombards, King of the Lombards from 774, and Holy Roman Emperor, Emperor of what is now known as the Carolingian ...
in
Aix-la-Chapelle
Aachen is the 13th-largest city in North Rhine-Westphalia and the 27th-largest city of Germany, with around 261,000 inhabitants.
Aachen is located at the northern foothills of the High Fens and the Eifel Mountains. It sits on the Wurm Riv ...
,
France
France, officially the French Republic, is a country located primarily in Western Europe. Overseas France, Its overseas regions and territories include French Guiana in South America, Saint Pierre and Miquelon in the Atlantic Ocean#North Atlan ...
. A tooth of Charlemagne was removed by Otto as a
relic
In religion, a relic is an object or article of religious significance from the past. It usually consists of the physical remains or personal effects of a saint or other person preserved for the purpose of veneration as a tangible memorial. Reli ...
and a gold plate became a replacement to a piece of the
cadaver
A cadaver, often known as a corpse, is a Death, dead human body. Cadavers are used by medical students, physicians and other scientists to study anatomy, identify disease sites, determine causes of death, and provide tissue (biology), tissue to ...
's broken nose.
During that time as well,
ivory
Ivory is a hard, white material from the tusks (traditionally from elephants) and Tooth, teeth of animals, that consists mainly of dentine, one of the physical structures of teeth and tusks. The chemical structure of the teeth and tusks of mamm ...
-made facial prostheses were described by
al-Zahrawi
Abū al-Qāsim Khalaf ibn al-'Abbās al-Zahrāwī al-Ansari (; c. 936–1013), popularly known as al-Zahrawi (), Latinisation of names, Latinised as Albucasis or Abulcasis (from Arabic ''Abū al-Qāsim''), was an Arabs, Arab physician, su ...
(936–1013).
The birth of maxillofacial prosthetics in modern history (early modern period)
Ambroise Paré
Ambroise Paré (; – 20 December 1590) was a French barber surgeon who served in that role for kings Henry II, Francis II, Charles IX and Henry III. He is considered one of the fathers of surgery and modern forensic pathology and a pione ...
founded
maxillofacial
Oral and maxillofacial surgery (OMFS) is a surgical specialty focusing on reconstructive surgery of the face, facial trauma surgery, the mouth, head and neck, and jaws, as well as facial plastic surgery including cleft lip and cleft palate s ...
prosthetics who had the clinical knowledge tinged with
military medicine, which gave the first maxillofacial prosthesis with surgical anchorage. After three years had passed using human dissections to get educated on
human anatomy
Human anatomy (gr. ἀνατομία, "dissection", from ἀνά, "up", and τέμνειν, "cut") is primarily the scientific study of the morphology of the human body. Anatomy is subdivided into gross anatomy and microscopic anatomy. Gross ...
, despite being previously known from the biggest hospital in the kingdom of France, the
Hôtel-Dieu In French-speaking countries, a hôtel-Dieu () was originally a hospital for the poor and needy, run by the Catholic Church. Nowadays these buildings or institutions have either kept their function as a hospital, the one in Paris being the oldest an ...
in Paris, he made the decision to relocate to
Vitré to obtain knowledge of surgery from a
barber
A barber is a person whose occupation is mainly to cut, dress, groom, style and shave hair or beards. A barber's place of work is known as a barbershop or the barber's. Barbershops have been noted places of social interaction and public discourse ...
. He proceeded to practice in heavy mutilations as a military surgeon prior to being assigned as "Surgeon of The King" of France (for
Charles IX and
Henry III).
Materials and techniques for facial prosthesis in modern history (late modern period)
In the 19th century, throughout the time of the
Industrial Revolution
The Industrial Revolution, sometimes divided into the First Industrial Revolution and Second Industrial Revolution, was a transitional period of the global economy toward more widespread, efficient and stable manufacturing processes, succee ...
, appearance was improved a great deal by recently developed materials accessible for facial prostheses. Silver and gold were exchanged with lighter materials as they gave discomfort to the face and were stiff. To mask
disfigurement
Disfigurement is the state of having one's appearance deeply and persistently harmed medically, such as from a disease, birth defect, or wound. General societal attitudes towards disfigurement have varied greatly across cultures and over time ...
, epitheses were used as it was practical and more successful therapeutics. In fact, in 1851,
sulfur
Sulfur ( American spelling and the preferred IUPAC name) or sulphur ( Commonwealth spelling) is a chemical element; it has symbol S and atomic number 16. It is abundant, multivalent and nonmetallic. Under normal conditions, sulfur atoms ...
was incorporated into
rubber
Rubber, also called India rubber, latex, Amazonian rubber, ''caucho'', or ''caoutchouc'', as initially produced, consists of polymers of the organic compound isoprene, with minor impurities of other organic compounds.
Types of polyisoprene ...
which made
Goodyear acquire
vulcanite
Vulcanite is a rare copper telluride mineral. The mineral has a metallic luster, and has a green or bronze-yellow tint. It has a hardness between 1 and 2 on the Mohs scale (between talc and gypsum). Its crystal structure is orthorhombic.
Vulcani ...
. It turned out to be a vital component of conventional dental prosthesis and facial prosthesis. A trouble-free and colorable creation being able to be used in both hard and soft structures.
The application of vulcanite for facial prostheses was also mentioned by Norman Kingsley and Apoléoni Preterre in 1864 and 1866, respectively. In 1879,
celluloid
Celluloids are a class of materials produced by mixing nitrocellulose and camphor, often with added dyes and other agents. Once much more common for its use as photographic film before the advent of safer methods, celluloid's common present-day ...
was used by Kingsley. Maxillofacial prosthetics were given a new dimension by mixing maxillofacial surgery with dental prosthetics by a French physician and dentist,
Claude Martin
Major-General Claude Martin (5 January 1735 – 13 September 1800) was a French army officer who served in the French Indies Company, French and later East India Company, British East India companies in colonial India. Martin rose to the rank of ...
by the end of the 19th century. "Surgical" and "
prosthesis
In medicine, a prosthesis (: prostheses; from ), or a prosthetic implant, is an artificial device that replaces a missing body part, which may be lost through physical trauma, disease, or a condition present at birth (Congenital, congenital disord ...
" were terms used in conjunction with each other by Martin for the first time in ''De La Prothese Immediate, Appliquee a La Resection Des Maxillaires''. He had explained that in giving fulfilling skin simulation, the use of translucent ceramics for nasal prosthesis after amputation is the key.
Cultural representation
Facial prosthetics are shown in film and television. Examples of their use in film include ''
Live and Let Die'' and in television, the original series of ''
Mission Impossible
''Mission: Impossible'' is an American multimedia franchise based on a fictional secret espionage agency known as the Impossible Missions Force (IMF). The 1966 TV series ran for seven seasons and was revived in 1988 for two seasons. It inspired ...
'' and the successor series, ''
Mission: Impossible (1988 TV series).''
Problems
Being exposed to high temperatures can cause problems when wearing prosthetics. Glues that were sturdy at normal temperatures can become less effective under heat. This could lead to prosthetics falling apart or peeling from the skin.
Higher temperatures can cause sweating which can also affect the durability of the prosthetics. The negative effects of sweating can be prevented by cleaning the skin well with 99% alcohol before applying the adhesive. Another way to ensure that the facial prosthetics stay on once they have been applied is to treat the skin with an anti-perspirant beforehand.
See also
*
Angellift
*
Lifecasting
Lifecasting is the process of creating a three-dimensional copy of a living human body, through the use of molding and casting techniques.
In rare cases lifecasting is also practiced on living animals.
The most common lifecasts are 3D hand ca ...
*
Prosthesis
In medicine, a prosthesis (: prostheses; from ), or a prosthetic implant, is an artificial device that replaces a missing body part, which may be lost through physical trauma, disease, or a condition present at birth (Congenital, congenital disord ...
*
Prosthetic makeup
Prosthetic makeup also known as special makeup effects or FX prosthesis, is the process of using prosthetic sculpting, molding and casting techniques to create advanced cosmetic special effects, effects. Prosthetics are used on stage and screen ...
References
Cosmetics
Prosthetics
Prosthetic
In medicine, a prosthesis (: prostheses; from ), or a prosthetic implant, is an artificial device that replaces a missing body part, which may be lost through physical trauma, disease, or a condition present at birth (Congenital, congenital disord ...
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