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Direct Browlift in Vertical Orbital Dystopia Case Example

A direct browlift is a brow-lifting operation in which skin is removed just above the eyebrow, and the brow is elevated by closing that excision. It is mainly used to treat brow ptosis, especially when the droop affects the upper visual field or creates significant asymmetry. Compared with endoscopic or coronal brow lifts, the direct Read More…

Custom Facial Implants and Patient Age – Guidelines for Surgery

Patient age matters with custom facial implants, but not because there is one magic cutoff. The real issue is whether facial skeletal growth is essentially complete and whether the patient has the maturity and expectations for a permanent implant procedure. Teens in particualar  should meet milestones in growth and physical maturity before plastic surgery, and Read More…

Decision Tree for Implant vs Genioplasty in Revisions

In treating chin implant asymmetries the decision is between implant revision vs. sliding genioplasty. This is how to think about that choice in a structured manner.s Decision Tree: Implant vs. Sliding Genioplasty (Revision Cases) Step 1: Is the implant malpositioned? YES Proceed with implant revision (reposition ± pocket correction ± fixation) NO  go to Step Read More…

Ear Lift For Asymmetry Correction Case Example

If an ear “sits too low,” you’re usually talking about vertical malposition of the ear, not projection (how far it sticks out). That’s a more specialized issue than a standard otoplasty. Here’s the reality: there isn’t a simple “ear lift” like there is for the face. Fixing a low-set ear typically means surgically repositioning the Read More…

Female Forehead Osteoma Removal Case Example

Forehead osteomas are benign (non-cancerous) bone tumors that commonly appear on the frontal bone of the skull—basically the forehead area. What they are Made of dense, mature bone Typically slow-growing Feel like a hard, immovable lump under the skin Usually painless Why they occur The exact cause isn’t always clear, but possible factors include: Genetics Read More…

Surgical Correction of Female Chin Implant Asymmetry Case Example

Chin implant asymmetry is a well known aesthetic complication and can arise from implant malposition, soft tissue differences, bony asymmetry, lack of secure fixation or other healing-related factors. Surgical correction depends on identifying the exact cause. Common Causes Implant malposition (most common): shifted, rotated, or not centered Incorrect implant size/shape Underlying bony asymmetry Soft tissue Read More…

Creating The Wide Lower Jaw Shape in a Female Case Example

A wider jaw in women is mostly about the mandibular angle—the point where the lower jaw (mandible) turns upward toward the ear. This usually refer to a broader lower face, where the jawline extends outward more and the angle of the mandible is less sharp. What it looks like Wide/obtuse jaw angle (more open angle): Lower Read More…

Secondary Custom Jawline and Cheek Implants for Congenital Facial Asymmetry

Custom jawline implants can be very effective for facial asymmetry when the problem is mainly a contour or volume deficiency of the mandibular border, angle, or chin, especially if one side is underprojected. With modern patient-specific / custom implants, CT/CBCT-based virtual planning an be done to design different right and left dimensions, which improves fit Read More…

Submental Bony Chin Bump Reduction Case Example

chin inferior border bony bumps Bony bumps along the inferior border of the chin (mandible) are fairly common and can cause visible chin asymmetries with a longer ‘bump’ side. These are usually normal anatomical variations of a developmental origin and are rarely indicative a of more major jaw abnormality. These normal bony irregularities have the following features: Read More…

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