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Macrotia Reduction with Middle Third Excision Technique Case Study

Introduction Vertical ear reduction—also known as vertical ear shortening or macrotia reduction—is a surgical procedure that decreases the overall height of the external ear while preserving its natural contour. It is performed when a patient has macrotia, a condition in which the ears are normally shaped but disproportionately tall. This procedure addresses ear height only Read More…

Custom Jawline Implant After Vertical Lengthening Genioplasty Case Study

Introduction A vertical lengthening bony genioplasty (VLBG) adjusts the chin (symphysis) by moving the lower segment downward to increase lower facial height.A custom jawline implant addresses the entire jawline: chin width, jawline length, ramus width, gonial angles, and overall contour. When performed together: The bone movement fixes the vertical deficiency. The implant restores or enhances Read More…

Custom Jawline Implant Replacement for Sliding Genioplasty and Jaw Angle Implants Case Study

Introduction A custom jawline implant is a fully individualized implant designed to enhance the definition, symmetry, and overall contour of the jawline. Unlike standard chin or jaw-angle implants, a custom jawline implant is created specifically for the patient’s bone structure, aesthetic goals, and facial proportions. Extending from angle to angle, it can provide: Stronger, more Read More…

Custom Infraorbital-Malar Implants For Failed Fat Grafting Augmentation – Case Study

Introduction Custom Infraorbital–malar implants are facial implants designed to augment the under-eye (infraorbital) region and the cheekbone (malar) area simultaneously. Such implant designs are only available by custom fabrication in which they fitted to match the patient’s unique skeletal anatomy based on 3-D CT scan imaging.They are most commonly used to correct: Flat or weak Read More…

Secondary Submental Chin Reduction After A Primary Intraoral Chin Reduction – Case Study

Introduction Bony chin reduction, when performed by shaving, can be done from two different approaches, either from above (intraoral) or from below (submental). While both approaches provide access to the chin bone the dimensional reductions that can be achieved between ram are different. The submental approach provides direct, wide exposure of the lower chin bone Read More…

Adam’s Apple Augmentation for Neck Masculinization Case Study

Introduction Tracheal augmentation refers to surgical procedures intended to enlarge, reinforce, or reshape the trachea (windpipe) to improve airflow. As a form of reconstructive airway surgery, tissue or graft material is added to widen the airway or stabilize weak or collapsed segments. It is not typically considered a cosmetic procedure—unlike a tracheal shave, which reduces Read More…

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…