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Insights into AI-Assisted Custom Facial Implants

Artificial intelligence is beginning to change many aspects of medicine, but nowhere is its potential more exciting than in the design of custom facial implants. While AI cannot independently create a perfect implant from a CT scan, it is becoming an increasingly valuable tool that enhances the surgeon’s ability to analyze facial anatomy, simulate outcomes, Read More…

Ai-Assisted Custom Skull Implant Design Process

AI-assisted custom skull implant design is best understood as a collaborative workflow in which artificial intelligence accelerates engineering tasks while the surgeon remains responsible for the aesthetic goals, anatomical planning, and final implant design. AI is a design assistant—not an autonomous implant designer. A typical workflow consists of the following steps: 1. High-Resolution CT Scan Read More…

Upper and Lower Lip Vestibular Releases with Dermal-Fat Grafting Case Example

Lip vestibular contracture is an uncommon but challenging problem that occurs when scar tissue shortens the distance between the inner lip and the alveolar sulcus, creating a shallow vestibule. Patients often complain of lower lip tightness, restricted lip movement, and an unnatural smile. In young patients if is most commonly the sequaelae of prior intraoral Read More…

Recovery Timeline after Custom Skull Implant Surgery

Recovery after placement of a custom skull implant is generally easier than many patients anticipate because the procedure involves the scalp and skull rather than muscles or joints. While swelling and scalp tightness are expected, pain is usually modest and most patients are able to resume routine activities within two weeks. The First 24–48 Hours Read More…

The Aesthetic Basis of Female Crown of the Skull Augmentations

Augmentation of the crown of the skull is one of the most common requests among female skull reshaping patients. A prominent crown of the skull has long been recognized as an important head shape element as seen by many hairstyles over the years. This raises the question as to.why do women value a high crown Read More…

Custom Implant for Female Crown of Skull Augmentation Case Example

A custom crown-of-the-skull implant is designed to increase the height and smooth the contour of the upper central skull (vertex) while maintaining a natural feminine head shape. Unlike implants that widen the sides of the head or augment the back of the skull, a crown implant selectively builds the highest point of the skull to Read More…

Common Misconceptions About Facial Implant Materials

While the available materials for custom facial implants, silicone, PEEK, porous polyethylene and titanium, have been around for years I find few patients and even many surgeons don’t think about them properly. Misconceptions about their properties abound and the following are a few of the most common. Common Misconceptions “Rigiduty Means A Superior Aesthetic Result” Read More…

Custom Facial Implant Materials – Silicone, PEEK, Porous Polyethylene, and Titanium: How To Choose the Right Material

Custom facial implants are manufactured from several biocompatible materials, most commonly solid silicone, PEEK, porous polyethylene, and titanium. Each has unique advantages and limitations, and no single material is best for every patient or every procedure. The most important factor in a successful custom facial implant is not the material—it is the implant’s design. A Read More…

Contour Augmentation with Alloderm Grafts in Masseteric Muscle Dehiscence Case Example

Masseteric muscle dehiscence is one of the more frustrating soft tissue complications that can occur after custom jaw angle implant surgery. While meticulous muscle dissection and ligamentous release is the primary method of prevention, muscle retraction over the implant can still occur. The masseter muscle normally inserts onto the lateral surface of the mandibular angle. Read More…

The Technique of Shoulder Widening by Clavicle Lengthening Osteotomies

Shoulder widening by clavicle lengthening osteotomies is the opposite of shoulder narrowing surgery. Rather than shortening the clavicles, the bones are divided (osteotomy) and immediately lengthened to increase biacromial shoulder width. Indications This is a rare procedure that may be considered for: Congenitally narrow shoulders. Patients seeking greater upper body width for aesthetic masculinization. Selected Read More…