Special Topics in Anaplastology: Fabrication of an Auricular Prosthesis
Marking Frankfort horizontal for orientation of prosthesis on defect cast.
3 part mold with a wedge piece to prevent undercut behind helix.
Intrinsic Coloration & Mold Packing
Flocking – short colored fibers were added for a subtle color change and to mimic vasculature.
Base color – semi-opaque underlying skin tone; commonly identified from underside of the forearm, along the hairline, anterior to the tragus, and at the base of the helix.
Laminar glazes: pink blush, freckling, tan, highlight (cartilage), and shadow.
Trimming & Extrinsic Coloration
Trimming excess flash with scissors and smoothing helical seam with silicone bur.
Color matching for extrinsic coloration.
Extrinsic pigments added to medical adhesive moisture-cure silicone.
Deshine with confectioner sugar to alter the surface geometry of the silicone.
Once cured, rinse the sugar off with water.
Fabrication complete with piercing.
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