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The Role of Vertical Lengthening in Custom Infraorbital-Malar Implants

Vertical infraorbital rim lengthening is one of the most important—but often under-appreciated—design variables in custom infraorbital-malar (IOM) implants. Its value lies in correcting the three-dimensional skeletal deficiency of the upper midface, not just adding projection. Below is a structured explanation of why it matters biomechanically and aesthetically. 1. What “vertical infraorbital rim lengthening” actually means Read More…

Posterior Webbed Neck Correction Surgery Case Example

Posterior webbed neck correction is a posterior midline excisional technique used to improve the contour of a webbed neck. It is an indirect surgical approach that emphasizes scar concealment. Rather than directly excising or rearranging the lateral neck webs—which produces visible scars along the sides of the neck—the posterior approach moves the webs inward through Read More…

Tertiary Custom Skull Implant Overlay Case Example

Placing a custom skull implant overlay on top of an existing skull implant is possible — but it requires careful analysis and is not a routine situation. The approach depends heavily on what the first implant is, how it was placed, and why additional augmentation is needed. Here is a structured breakdown: 1. When Would Read More…

Quantitative Modeling of Midface Projection-to–Soft Tissue Response: Predicting Lid–Cheek and Midface Surface Change From Skeletal Augmentation

Skeletal augmentation of the infraorbital rim, anterior maxilla, and malar region produces a nonlinear, region-specific soft tissue response. For surgical planning—especially with custom infraorbital–maxillary or “midface mask” implants—quantitative modeling helps answer a practical question: How many millimeters of surface change (soft tissue forward movement) will occur for each millimeter of bony/implant projection? A workable, clinically Read More…

Custom Skull Implant Augmentation and Scalp Stretch

How much skull augmentation is realistically possible depends on the thickness of the scalp and the size of the implant. A major consideration in the custom skull implant design is an estimate of what the scalp can accommodate., The Main Limiting Factor: The Scalp The skull bone itself is not the limitation in augmentation. The Read More…

Implant vs Bony Repositioning for Jaw Asymmetry – An Assessment Guide

Are implants or jaw surgery better for jaw asymmetry? This is the most important decision point in jaw asymmetry treatment. The choice between a custom wrap-around implant and orthognathic (double jaw) surgery depends entirely on what is actually asymmetric: Bone shape? Bone position? Bite? Entire jaw rotation? Or just contour deficiency? Below is a structured Read More…

Custom Wrap-Around Jawline Implant for Jaw Asymmetry Case Example

A custom wrap-around jawline implant is one of the most effective surgical options for correcting jaw asymmetry, particularly when the asymmetry involves: Uneven mandibular angles One side of the jaw that is flatter or smaller Chin deviation with posterior jaw deficiency Hemifacial skeletal underdevelopment Imbalance from prior surgery What “Wrap-Around” Means A wrap-around implant is Read More…

V-Y Lower Lip Lengthening Case Example

V-Y Lip Lengthening (V-Y Lip Advancement / V-Y Plasty) is a surgical technique used in cosmetic lip surgery to lengthen and/or add volume to the lips by advancing internal lip tissue rather than adding foreign material like fillers or implants. This is a lip augmentation technique borrowed from reconstructive surgery, commonly used in secondary cleft Read More…

Female Custom Fronto-Temporal Head Widening Implants Case Example

Custom Fronto-Temporal Implants are patient-specific cranial implants designed to widen the upper temporal region and the lateral forehead in one continuous contour. They address the transition zone between the forehead and the side of the head — an area that strongly influences facial width and upper facial balance. What Area They Augment Fronto-temporal implants cover: Read More…

Male Upper and Lower Vermilion Lip Advancements Case Example

Male vermilion lip advancement is a surgical procedure used to increase visible red lip show (vermilion) by advancing the vermilion border outward. In men, the approach must be more conservative and anatomically respectful than in female patients to avoid feminization. 1. Indications in Male Patients Thin flat upper lip with minimal vermilion show Aging-related vermilion Read More…