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Custom Pectoral Implant Design and Replacement – Case Study and Revision Considerations

Introduction Custom pectoral implants are patient-specific chest implants designed to enhance or restore the size, shape, and symmetry of the pectoral region. They are most commonly used in men seeking a more defined, athletic chest or correction of congenital or acquired asymmetry. Benefits of Custom Implant Design for Pectoral Augmentation CT-based design and preoperative controlThree-dimensional Read More…

Occipital Bun Reduction with Scalp Roll Excision Case Study

Introduction An occipital bun is a rounded overgrowth of the occipital bone at the back of the skull. This produces an exaggerated posterior curvature that disrupts the normal, smooth convex contour of the back of the head when viewed in profile. It represents a normal anatomic variant of skull development rather than a true bony Read More…

Custom Brow Bone Implant Design Options

Brow bone implant designs are customized based on how much projection, width, and shape are needed along the lower forehead and eye area. Based on my extensive custom facial implant experience there are numerous design patterns that patients have needed for specific aesthetic enhancements. These various designs are based on differing brow bone anatomic zones. Read More…

Custom Brow Bone Feminization Reversal -Case Study

Introduction A custom brow bone implant is a patient-specific facial implant designed to enhance or reconstruct the supraorbital rims (brow ridges). Aesthetically, it is most commonly used for facial masculinization or for correction of flat or recessed brows. With the growing popularity of facial feminization surgery (FFS), custom brow bone implants have also become an Read More…

Design Guidelines for Custom Square Chin Implants for Men

While some men that request custom chin implants may not desire a more square chin appearance, many do.Here are some surgeon-experienced guidelines for designing a custom square chin implant (male or masculinizing focus). 1. Aesthetic Objectives (Square ? Wide) Primary goal: angularity and vertical definition, not excessive transverse width. Emphasize a flat or gently convex Read More…

Square Chin Implants in Men: Design Pitfalls and the Role of Custom Revision

Introduction Men frequently request a squarer, more angular chin when undergoing chin implant augmentation. While there is a standard “square” chin implant design intended to meet this goal, it is often an imperfect solution. In many cases, aesthetic failure occurs due to inherent design limitations and technical placement issues. Common Failure Modes of Standard Square Read More…

Custom Jaw Angle Implant Overlay After TMJ Replacements for Facial Asymmetry Correction Case Study

Introduction Total temporomandibular joint (TMJ) replacement is a surgical procedure in which a damaged jaw joint is replaced with a biocompatible prosthesis to relieve pain and restore function when conservative treatments have failed. It is most commonly indicated for severe degenerative joint disease, including osteoarthritis and rheumatoid arthritis, as well as advanced joint destruction, deformity, Read More…

Torso Narrowing Surgery Concepts and Case Study

Introduction Torso narrowing by rib removal is a skeletal-based body contouring procedure designed to permanently reduce waist width by altering the lower rib cage. It is indicated only for a small, carefully selected subset of patients. What Rib Removal Actually Means The procedure most commonly targets the 11th and 12th ribs, also known as the Read More…

Witch’s Chin (Chin Pad Ptosis) Correction Case Study

Introduction Chin pad ptosis correction encompasses surgical techniques designed to elevate or remove a drooping chin soft-tissue pad. This condition most commonly results from prior chin bone reduction, chin implant surgery, or implant removal. Etiology of Chin Pad Ptosis Common causes include: Mentalis muscle detachment or laxity (very common after chin implant removal) Loss of Read More…

Chin Feminization Reversal: Surgical Options and Case Study

Introduction Reversal of a feminized chin is one of the more predictable and achievable components of facial feminization reversal surgery. What Feminizing Chin Surgery Typically Does Feminizing chin surgery commonly involves one or more of the following changes: Narrowing of chin width Reduction of chin height or forward projection Rounding or tapering of the chin Read More…