Top Articles

Blog

Secondary Dorsal Implant After Inadequate Rib Graft Augmentation Rhinoplasty

Nasal dorsal augmentation involves increasing the height and/or improving the contour of the nasal bridge (dorsum). It is a common component of rhinoplasty, particularly in patients with a low or flat nasal bridge or an irregular dorsal contour. Common Indications Low nasal bridge (common in many Asian, African, or revision rhinoplasty patients) Saddle nose deformity Read More…

Reshaping the Round Face – Implant and Soft Tissue Reduction Strategies

For a round face, the goal is to shift from a circular, width-dominant shape to something more vertically defined and angular. With custom implants, you’re adding structure—but in round faces, soft tissue thickness is often the limiting factor, so reduction plays a bigger role than usual. Here’s how to think about the best combinations: Core Read More…

Custom Facial Implants – Visible vs Palpable Malpositions

Malpositions of custom facial implants can be visible externally or can only be palpable. This is a really useful way to think about it, because not every “miss” actually shows—and some that are barely measurable can be surprisingly visible. I’ll break it down by visible vs. palpable vs. both, then give you the patterns by Read More…

Custom Facial Implants – Mechanisms of Intraoperative Misplacement

There are two factors that determine the success of custom facial implants, the implant design and its intraoperative placement. The implant design is assured, as it is seen and chosen before surgery, but placing the implant(s) exactly how it is designed is not. Such implants can end up a few millimeters off or more from Read More…

Custom Facial Implants – Techniques in Intraoperative Placement

Some surgeons falsely allege and some patients erroneously assume that a custom facial implant just snaps into place because of its design with an underlying shape that mimics the surface anatomy of the bone on which is placed.  There is also the mistaken belief that certain implant materials (aka PEEK) are better because of this Read More…

What is Aesthetic Skull Reshaping Surgery

  Every day I get inquiries from patients requesting ‘skull reshaping surgery’ without any further specifications or details of their head shape concerns, not recognizing the scope of the general term. A detailed description of what encompasses skull reshaping surgery is described. What is Aesthetic Skull Reshaping Surgery Aesthetic skull reshaping surgery—often called cranial contouring Read More…

Custom Jawline Implant Removal Outcomes

Custom jawline implants create  one the most powerful augmentation changes of the face. Their wraparound surface area coverage of the entire inferolateral border of the  lower jaw can cerate a dramatic contour change between the face and the neck. But despite these potential benefits not every jawline implant patient is satisfied with and may consider Read More…

Jawline Implant Removal: Frequently Asked Questions

Considering jawline implant removal here is what you need to know. Will my face go back to normal after jawline implant removal? Not completely. While your face will return closer to its natural shape, the tissues and bone have adapted to the implant. Most patients notice a slight loss of jawline definition and a softer Read More…

Top Articles