Any of you approached cosmetic surgeons for "serious" stuff?

This experimental implant case report may be of interest. It describes a set of magnetic implants affixed to ocular muscles and orbital walls, to “lock down” the gaze of a patient with nystagmus - for lack of a better ultra-short description.

The interesting bits are the construction of the magnets themselves, and their attachment to the muscles:

Implant Design

We designed a 2-part rare-earth magnetic implant consisting of a small cylindrical ocular part designed to be sutured to an extraocular muscle near its insertion and within the tendinous sheath and a larger cylindrical orbital part designed to be fixed to the orbital wall. The thickness of the orbital magnet was conceived to be variable, guided by the external testing of prototypes of the same diameter, but of different lengths, externally before implantation (see below). The ocular magnet was designed to be made of sintered samarium–cobalt material, and the orbital magnet was designed to be made of sintered neodymium–iron–boron, with the magnetic axis in both being aligned to the cylindrical axis. The ocular magnet was a cylinder 3 mm in diameter and 1 mm in length, and the orbital magnet was a cylinder 3.73 mm in diameter and 2 mm in length. Because permanent magnetic materials are biologically reactive, each part was encased in grade 2 titanium, with laser welded joints, and the titanium cases included small flanges to facilitate suturing (for the ocular part) or gluing (for the orbital part). The final design was custom manufactured by Magnet Sales & Service Ltd (Swindon, United Kingdom). Note that the magnetic materials exhibit sufficient temperature stability to allow standard sterilization techniques to be applied.

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