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Combined Infraorbital–Malar–Maxillary Reconstruction (The Custom “Midface Mask” Implant)

Combined infraorbital–malar–maxillary augmentation represents a comprehensive skeletal reconstruction of the central and lateral midface. Commonly referred to as a custom midface mask implant, this technique restores deficient projection across the infraorbital rim, anterior maxilla, paranasal region, and zygomatic body in a single, continuous construct. Unlike isolated infraorbital or malar implants, or even combined infraorbital-malar implant, Read More…

The Effects of Custom Jawline Implants on the Aging Neck – Case Example and Design Principles

Custom jawline implants can play a meaningful role in improving the appearance of the aging neck in older men, but their effect is structural — not a replacement but as an enhancement for soft-tissue rejuvenation. The improvement comes from restoring bony projection and tension to the lower face–neck junction. Here is how they have their Read More…

Decision-Tree Approach to Negative Vector Midface Management – A Structured Surgical Algorithm

A negative orbital vector is a not uncommon aesthetic facial deficiency that is often not recognized leading to ineffective treatments. Negative vector midface deformity refers to posterior positioning of the infraorbital rim and anterior maxilla relative to the globe. Clinically, the corneal apex projects anterior to the infraorbital rim in profile view. This skeletal deficiency Read More…

Biomechanical Analysis of Midface Projection Correction – Implant-Based Augmentation vs. Orthognathic Advancement

Midface retrusion may be corrected through either skeletal augmentation (implant-based reconstruction) or skeletal repositioning (orthognathic advancement). Although both approaches can increase midfacial projection, they differ fundamentally in biomechanical mechanism, load transmission, soft tissue response, and occlusal impact. Analyzing the structural, functional, and biomechanical distinctions between these two strategies allows for good clinical decision making in Read More…

Custom Infraorbital–Maxillary Implants – Case Example and Design Principles

There are numerous strategies for structural midfacial augmentation, some of which are less commonly recognized due to their lower frequency of use. One such procedure is central midface projection enhancement, anatomically termed infraorbital–maxillary augmentation. Infraorbital–maxillary augmentation refers to surgical enhancement of the infraorbital rim and anterior maxilla to improve under-eye support, increase midface projection, and enhance Read More…

Trabnspalpebral Tail of the Brow Bone Reduction Reversal Case Example

Brow bone reduction reversal means trying to restore projection to the brow after it has been surgically reduced. Most patients seeking reversal want: More brow prominence A stronger / more masculine contour Restoration of pre-transition facial structure (common in detransition cases) Correction of over-reduction Regardless of the type of brow bone reduction done, burring or Read More…

Mouth Widening Surgery Technique (Lateral Commissuroplasty – Aesthetic Widening)

This is a technically delicate procedure because the oral commissure is a muscular convergence zone, not just a skin corner. Precision and conservative movement are critical. Preoperative Planning A. Measurement Determine desired amount of widening Mark vertical reference lines from: Medial limbus Mid-pupil (smile position) Avoid going lateral to mid-pupil in most aesthetic cases. B. Read More…

Male Mouth Widening Case Example

Mouth widening surgery (also called oral commissuroplasty or lateral commissuroplasty) is a cosmetic procedure designed to increase the horizontal width of the mouth by repositioning the corners (oral commissures) outward. What It Does Increases mouth width Creates a broader smile Improves facial balance in patients with a narrow lower face Can enhance dental show when Read More…

Male Vermilion Lip Advancemen Case Example

Vermilion lip advancement is a surgical technique designed to increase the visible height of the pink portion of the lip (vermilion). It is most commonly performed on the upper lip but can also be done on the lower lip. This is a direct excisional procedure performed at the vermilion–cutaneous junction (the white roll). Indications Thin Read More…

Custom Brow Bone Implant Case Example

Brow bone implants (also called supraorbital ridge implants) are solid facial implants used to increase projection and definition of the brow ridge. They are most commonly performed for: Facial masculinization Enhancing a flat or recessed brow Balancing forehead–nose proportions Reconstructive contour correction What They Do Brow bone implants increase: Forward projection of the supraorbital rim Read More…