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First Stage Dermal-Fat Grafts for Soft Tissue Restoration in Deltoid implants

Custom deltoid implants can be considered for visible deltoid/shoulder hollowing after shoulder replacement, but they are contour-restoration devices, not functional muscle replacements. Key points: After reverse shoulder arthroplasty, deltoid quality matters because the deltoid becomes the main elevator of the arm. Deltoid atrophy or nerve injury can affect function. A solid silicone custom deltoid implant Read More…

Secondary Clavicle Reduction Osteotomies for an Increased Shoulder Narrowing Effect

Shoulder narrowing surgery by clavicle reduction osteotomies is a procedure with a high satisfaction rate. It works by pulling the shoulder closer to the sternum the same distance of the bone removed from the clavicle on each side. While the procedure has an immediate shoulder narrowing effect the other criteria for success is good bone Read More…

The Effects of Clavicle Reduction Osteotomies for Sboulder Narrowing on the Scapula

The scapula (shoulder blade) is a flat triangular bone that connects the arm to the trunk through muscular and ligamentous attachments. It serves as the mobile platform for shoulder motion. Key anatomical regions include: Spine of scapula Prominent ridge on the posterior surface dividing: supraspinous fossa infraspinous fossa Acromion Extension of the scapular spine Forms Read More…

What Is The Probability Of Hitting My Exact Aesthetic Goal With Custom Forehead Implants

While custom implants for the upper 1/3 of the face are less common than that of the lower 2/3s they are uniquely different because of their larger sizes. But custom forehead implants are also different because their probability of success profile is actually one of the best among facial implants—both technically and aesthetically in my Read More…

What Is The Probability of Hitting My Exact Aesthetic Goal With Custom Orbital Implants

For custom orbital implants (around the eye socket), the accuracy profile is different from jawline and cheeks—it’s actually one of the most precise areas technically, but one of the hardest to match aesthetic expectations. Here’s the realistic breakdown: Probability for orbital implants ? Close match (most outcomes) ~80–90% chance Improved contour, symmetry, or support Read More…

What Is The Probability Of Hitting My Exact Aesthetic Goal With Custom Cheek Implants

The midface, and the cheeks in particular, are a common location for the use of custom facial implants designs tom achieve aesthetic results not obtainable with standard implants. For custom cheek (malar/midface) implants, the probability of hitting your exact aesthetic goal is generally a bit higher than jawline implants—but still not perfectly predictable. Here’s a Read More…

what Is The Probability Of Hitting My Exact Aesthetic Goal With A Custom Jawline Implant

The jawline implant is the most frequentl performed custom facial implant with a dominant male gender preference. With such a significant clinical experience what is the probability of hitting a patient’s exact aesthetic goal for custom jawline implants. In my experience it is a bit lower than people expect—even though the implants themselves are very Read More…

How Accurate Are Custom Facial Implants in Achieving Patient Goals

Custom facial implants represent the most advanced approach available for structural facial enhancement. By combining high-resolution imaging with precise digital design, they allow for a level of customization that was not previously possible with standard, off-the-shelf implants. However, while their technical accuracy is extremely high, their ability to deliver a perfectly predictable aesthetic outcome is Read More…

Two Stage Vertical Chin Lengthening for an Extreme Augmentation Effect Case Example

Vertical chin length (the height of the lower third of the face) is usually evaluated using proportional relationships rather than just raw millimeters—but we can translate those into practical numbers. 1. Facial thirds (core framework) The face is divided into three vertical sections: Hairline ? brow Brow ? base of nose (subnasale) Subnasale ? bottom Read More…

Male Custom Forearm Implants – Anatomy and Surgical Technique

Forearm implants are a niche type of cosmetic body-contouring procedure where a solid implant (usually silicone) is placed along the forearm to increase its size, definition, or symmetry. Here’s the straightforward reality: What they’re for Enhancing muscle appearance (especially for people who feel their forearms are underdeveloped) Correcting asymmetry from injury or congenital differences Very Read More…