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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…

The Biology of Bone Remodeling Around Facial Implants

There is an established association of bone changes with facial implants but it is poorly understand despite that the biology of bone remodeling in response to mechanical stress is well known. Facial implants can cause underlying bone resorption (bone remodeling/imprinting), although the degree varies considerably by implant type, location, design, fixation method, and duration of Read More…

The Masseter Muscle in Jaw Angle Implants – IV. The Soft Tissue Implant Augmentation for Masseteric Muscle Dehiscence

While rarely talked about or usedI have found that soft-tissue jaw angle implants are one of the most effective reconstruction option for patients with chronic masseteric muscle dehiscence when the primary problem is loss of soft-tissue contour and inadequate implant coverage rather than a deficiency of the bony jaw angle itself. Concept Instead of augmenting Read More…

The Masseter Muscle in Jaw Angle Implants – III. Soft Tissue Contour Correction of Masseteric Muscle Dehsicence

For masseteric muscle dehiscence after jaw angle implant surgery, soft-tissue augmentation can be useful when direct muscle reattachment is not possible, when there is persistent contour deficiency, or when implant coverage is inadequate. The goal is to recreate a soft-tissue envelope between the implant and overlying tissues and reduce visibility or palpability of the implant. Read More…

The Masseter Muscle in Jaw Angle Implants – II. Management of Masseteric Muscle Dehiscence

Masseteric muscle dehiscence after jaw angle implant surgery is more common than is ackowkedged and rarely discussed in the medical literature. But it can create several problems: implant exposure due to lack of adequate full muscle coverage, a step off or soft tissue contour deformity over the gonial angle, an abnormally high muscle bul when Read More…

The Masseter Muscle in Jaw Angle Implants – I. Pre and Intraopertative Considerations

Management of the masseter muscle is one of the key technical issues in placement of isolated jaw angle and wraparound jawline implants. This applies to all implant sized and dimensions but particularly vertical-lengthening or large widening angle implants. It is also pertinent to any jaw angle that has had prior surgery, such as SSROs and Read More…

Rib Removal and Rib Fractures for Waisltine Narrowing Compared

In the context of waist narrowing surgery, rib removal and rib fracture (rib remodeling) techniques are fundamentally different procedures. in how the lower three ribs are treated. As a result it is never that they arrive exactly at the same aesthetic outcome. Why Rib Removal Produces More Permanent and Predictable Narrowing Rib removal (typically portions Read More…

Buccal Lipectomy Complications and How To Avoid Them

The.most common facial defatting procedure, a buccal lipectomy, is seemingly a straight forward and effective procedure. But like all aesthetic surgeries there are downsides and errors with it. Common buccal lipectomy (buccal fat removal) errors can be divided into planning errors and technical surgical errors. Patient Selection Errors These are often the most significant misjudgements. Read More…