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Custom Infraorbital vs Infraorbital-Malar Implant Comparison

Custom implant designs offer great versatility for augmentation of upper midface aesthetic bony deficiencies particularly the undereye area. There are two basic types of undereye custom designs, infraorbital (IO) and infraorbital-malar (IOM) implants. A comparison of infraorbital-only versus infraorbital–malar implants, focusing on when each works, when it doesn’t, and why, will make the difference in Read More…

Ciustom Infraorbital-Malar Implants in Negative Orbital Vector Anatomy Case Study

Custom infraorbital–malar implants are one of the most powerful (and under-used) solutions for true undereye hollowing, especially when the problem is skeletal deficiency, not just soft-tissue fat loss (e.g., after lower blepharoplasty) Undereye hollowing is often caused by: Infraorbital rim deficiency Negative vector midface Low malar projection with deep tear trough Thin lower-lid soft tissue Read More…

Cupped vs Solid Displacement Testicular Implants – A Comparative Case Study

Introduction There are two primary implant concepts used for testicular enlargement: wrap?around implants and side?by?side (displacement) implants. The side?by?side technique uses a solid testicular implant placed adjacent to the natural testicle. Implant size is determined by how much volume is required to adequately displace the native testicle. The wrap?around technique uses an implant that partially Read More…

Adult Brachycephaly Skull Reshaping Case Study

Adult brachycephaly refers to a persistently short, wide head shape (increased cranial width relative to length) that began in infancy and remained into adulthood. What it is Definition: Brachycephaly = reduced front-to-back skull length with increased width Cephalic index: Typically > 80–85 In adults, the skull bones are fused, so the shape is stable and non-progressive The most common cause is positional Read More…

Piezotome Bone Cutting in Rib Removal Surgery

A piezotome is a surgical device that uses ultrasonic vibrations to cut bone precisely while sparing soft tissue (nerves, blood vessels, mucosa). It’s basically bone surgery on “precision mode.” What it’s used for In plastic surgery (and related fields), it’s commonly used for: Rhinoplasty (especially piezo rhinoplasty for nasal bone osteotomies) Facial bone contouring Orthognathic Read More…

Second Stage Buttock Implants After Lower Buttock Lifts Case Study

Buttock implants are solid silicone implants placed surgically to increase projection, shape, and firmness of the buttocks. They’re different from injectabelfillers and from fat transfer (BBL). They’re usually considered when: Someone is very lean and doesn’t have enough fat for a Brazilian Butt Lift (BBL) They want more projection than fat transfer alone can provide Read More…

Lower Buttock Lift for Buttock Ptosis Case Study

Introduction A lower buttock lift is a body-contouring procedure designed to tighten and elevate sagging tissue in the lower portion of the buttocks, particularly at the junction where the buttock meets the upper thigh (the infragluteal or buttock crease). Indications A lower buttock lift is used to address: Loose or sagging skin of the lower Read More…

Limited Subcostal Rib Shave Prominence Reductions

A subcostal rib shave is a cosmetic surgical procedure designed to reduce the visible edge or flare of the lower rib cage, creating a smoother and less prominent lower ribcage appearance. This can be the entire lower subcostal rib margin or it can be an isolated bump or protrusion. What it involves The subcostal ribs, usually ribs 8 and 9 on the Read More…

Hollow Chamber Testicle Implants (Malakon Rex) – Improved Design, Softer Feel

Hollow chamber testicle implants are a newer variation of testicular prostheses designed to feel more natural and reduce some drawbacks of traditional solid implants. What they are Instead of being completely solid (usually low durometer silicone elastomer), hollow chamber implants have a small internal cavity. The outer shell is still medical-grade silicone, but the hollow interior allows the Read More…

Custom Jawline Implant After Vertical Bony Chin Lengthening Case Study

A custom jawline implant after vertical chin lengthening is a very logical and commonly paired sequence when the goal is a stronger, longer, and more continuous lower facial contour. Here’s how these procedures can be done either staged or together. In the staged approach 1. Vertical Chin Lengthening Comes First Vertical chin lengthening by an opening wedge Read More…