Blog

Traditional Sculpture vs Surgical Sculptring

At a recent art show I submitted several pieces of art I created,one of which was a sculpture using explanted and discarded breast, buttock, thigh and calf implants. In putting this piece together I had time to ponder the differences between the artistic sculpture I was creating on weekends and the surgery I do during Read More…

Custom Cheek and Chin Implant Replacements — Case Study

Introduction Facial implants are solid, biocompatible devices placed beneath the soft tissues and against the facial skeleton to augment or refine key structural areas. Commonly treated regions include: Cheeks (malar/submalar) Chin (mentoplasty) Jaw angles / jawline Unlike injectable fillers, facial implants provide stable, long-term structural change because they maintain their shape permanently once placed. The Read More…

Right Deltoid Implant Reconstruction for Severe Atrophy: A Case Study

Barry Eppley, MD, DMD World-Renowned Plastic Surgeon Introduction One of the most common shoulder muscle deformities is atrophy resulting from axillary nerve injury. The axillary nerve, a branch of the posterior cord of the brachial plexus (C5–C6), innervates the deltoid and teres minor muscles. Damage to this nerve—whether due to trauma, shoulder dislocation, or iatrogenic Read More…

Male Custom Forehead Implant Case Study

Introduction Forehead augmentation can be performed using several techniques, but a custom implant remains the most precise method for achieving controlled shape and projection across the entire upper third of the face. These implants—typically made from medical-grade silicone or PEEK—are digitally designed using a patient’s 3D CT scan. Unlike standard, off-the-shelf implants, each custom design Read More…

Transcutaneous Facelift Scar Placement of Jaw Angle Implants Case Study

Introduction The external skin approach to placing jaw angle implants is a less commonly used alternative to the more common intraoral approach. Coming from the skin side it provides direct access to the angle of the mandible as well as optimal visualization of the working end of the implant. Transcutaneous access to the mandibular angle Read More…

Transcoronal Deep Plane Browlift Case Study

Introduction The term facelift broadly describes facial rejuvenation procedures encompassing various surgical techniques aimed at creating a more youthful and refreshed appearance. A key factor in defining a facelift is which portion of the face is treated, as this determines the specific surgical methods used. Traditionally, a facelift refers to treatment of the lower face—hence, Read More…

PEEK Nasal Base Implant Modifications: Case Study

Introduction Custom facial implants can be fabricated from a variety of materials, each with distinct advantages and disadvantages. One such material is PEEK (polyetheretherketone), a high-performance thermoplastic polymer from the polyaryletherketone (PAEK) family. Medical-grade variants of PEEK meet strict biocompatibility and sterilization standards, making them suitable for cranio-maxillofacial applications. PEEK implants can be machined or Read More…

XL Silicone Breast Implants: Case Study

Introduction Breast augmentation is one of the most common aesthetic body contouring procedures and among the most implant-dependent. Silicone gel implants are available in a wide range of sizes—from approximately 150 cc to 800 cc. While implant size will look different depending on each patient’s body, sizes can generally be categorized as follows: Small: under Read More…

Rib 10 End Removal Case Study

Introduction The 10th rib is one of the false ribs in the human rib cage. Humans typically have twelve pairs of ribs, numbered from top to bottom: Ribs 1–7 are true ribs, attaching directly to the sternum via their own costal cartilages. Ribs 8–10 are false ribs, whose costal cartilages connect indirectly to the sternum Read More…

Transcutaneous Custom Jawline Implant Placement: Case Study

Introduction The transcutaneous (external skin) approach for placing or revising jaw angle implants—implants positioned at the mandibular angle—is a recognized technique in aesthetic and reconstructive facial surgery. Unlike the more common intraoral (inside-the-mouth) approach, the transcutaneous method provides direct external access to the mandibular angle, offering certain technical and clinical advantages in selected cases. Indications Read More…