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Combining Custom Facial Implants with a Deep Plane Facelift

Facial implants have a long history of being done in conjunction with facelift surgery. This almost always has been with the use of standard chin and cheek implants to help build out a flat or recessed cheek and chin bone structure which both aids the aesthetic result and provides some support to the lifted soft Read More…

Combining XL Custom Pectoral Implants with Standard Bicep Implants Case Example

Pectoral and biceps implants are a logical combination for male upper body augmentation and can be performed during the same operation in an appropriately selected patient. The advantages of combining them include: One anesthesia event One recovery period Better overall upper-body proportionality and contour enhancement Lower total cost compared with staging the procedures separately However, Read More…

The Anatomical Basis of the Deep Plane Facelift

The deep plane facelift is based on a detailed understanding of the layered anatomy of the face and the relationship between the skin, SMAS (superficial musculoaponeurotic system), facial mimetic muscles, retaining ligaments, and facial nerve branches. Fundamental Anatomical Concept Traditional SMAS facelifts elevate the skin and SMAS as separate layers or manipulate the SMAS superficially. Read More…

The Role of the Dopper in Ligation of Temporal Artery Prominences Case Example

In temporal artery ligation procedures (most commonly for treatment of prominent superficial temporal artery branches, a Doppler ultrasound probe plays an important localization role. Roles of the Doppler 1. Preoperative Vessel Mapping Handheld Doppler identifies the exact course of the superficial temporal artery and its frontal and parietal branches should it not be easily visible Read More…

Custom Pectoral Implant Design Guidelines

For a custom pectoral implant for aesthetic augmentation, I typically think of the design in terms of six major specification categories: 1. Overall Dimensions When it comes to creating the implant’s dimensions it is not about the overall height and width of the chest but mimicking the outline of the pectoralis major muscle on the Read More…

Male Custom Pectoral Implant Replacements Case Example

Custom pectoral implants are patient-specific chest implants designed to augment or reconstruct the pectoral region when standard implant sizes and shapes are inadequate. Common Indications Congenital chest asymmetry Poland syndrome Pectus excavatum contour deformities Post-traumatic chest wall defects Body-contouring augmentation in men seeking greater pectoral definition Revision of unsatisfactory results from standard pectoral implants Design Read More…

Custom Skull Implant for Flat Back of the Head – Case Example and Long Term Results

A custom skull implant for back-of-head augmentation (occipital augmentation) is designed to increase the projection, width, or overall contour of the posterior skull. This is one of the most predictable forms of skull reshaping because the implant is placed directly on the bone and can be manufactured to precise dimensions from a CT scan. Implant Read More…

Custom Jawline Implant Design Concepts for Facial Masculinization

For facial masculinization, a custom jawline implant designed in the “Eppley style” typically focuses on creating a stronger, wider, and more angular lower face while maintaining proportional harmony with the chin and cheekbones. Key design principles include: 1. Wraparound Jawline Design Rather than separate angle implants and a chin implant, the design is usually a Read More…

Jaw Angle Implants: The Complete Guide to Creating a Stronger, More Defined Jawline

Introduction The jawline has become one of the most sought-after facial features in aesthetic surgery. While much attention is given to chin augmentation, the jaw angles—the back corners of the lower jaw beneath the ears—play an equally important role in creating a strong, balanced, and attractive facial appearance. A well-defined jawline is often associated with Read More…

The Biology of Bony Overgrowths Around Facial Implants

Bony overgrowths occur around facial implants, particularly chin and jaw angle implants, is commonly observed on 3D CT scans and during implant replacement surgery. It is less discussed than bone imprinting changes underneath the implant even though it is part of the overall bone remodeling process that occurs as an adaotive response to implant placement. Read More…