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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…

Concepts in Facial Feminization Surgery Reversal – What Is and What Is Not Possible

Introduction Facial Feminization Reversal refers to surgical and non-surgical approaches used to reverse or soften the effects of prior Facial Feminization Surgery (FFS), typically to restore more traditionally masculine or neutral facial features. What “Reversal” Really Means FFS alters bone and soft tissue for a permanent change, so reversal may only be partial, not a Read More…

Hydroxyapatite Forehead Augmentation Revision Case Study

Introduction Hydroxyapatite (HA) forehead augmentation is a skeletal contouring procedure that uses a bone-like material to increase projection, smooth surface irregularities, or reshape the forehead. It is most commonly performed for aesthetic contour enhancement, post-traumatic deformities, congenital asymmetries, and frontal sinus obliteration. What Is Hydroxyapatite? Hydroxyapatite is a calcium phosphate compound that closely mimics the Read More…

Custom Jaw Angle Implant Overlays: What They Are & How They’re Used

Introduction Improving the appearance of the jaw angle region after prior implant augmentation is not uncommon and is usually very fixable. The correct solution, however, depends on the specific failure pattern of the original implant. Key questions include: Where is the current implant positioned? and What additional dimensions are needed to achieve an improved jaw Read More…

Custom Back of the Head Skull Implants (Occipital Implants) – Case Study

Introduction A back-of-the-head skull implant, also known as an occipital implant, is a cosmetic or reconstructive procedure designed to improve posterior skull projection, roundness, and symmetry. Common indications include: A flat or under-projected occiput (most often congenital) Imbalance in head shape where the front or sides are well developed but the back appears flat Asymmetry Read More…

Male Custom Forehead Implant Case Study

Introduction Forehead implants are a surgical option to permanently reshape or augment the forehead, typically used to improve projection for flat or recessed foreheads. The concept of forehead implants may be partial or complete based on whether a brow bone augmentation effect is desired or not (forehead vs forehead-brow bone implant ) For purposes of Read More…

Bone Healing After Clavicle Reduction Osteotomies – Case Study

Introduction Reduction osteotomies of the clavicle for shoulder reshaping (shoulder narrowing or “desquaring”) follow the same core biological principles as fracture healing, but with nuances related to clavicular anatomy, vascularity, and rigid fixation. Healing typically progresses through four well-established phases: 1. Biological Phases of Healing Inflammatory Phase (0–7 days) Hematoma formation and initiation of inflammatory Read More…