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Plastic Surgery Case Study – Replacement of Unnatural Looking Custom PEEK Infraorbital-Malar Implants With An Improved Custom Infraorbital-Malar Implant Design

Background: The flatter midface has a long history of being treated by the LeFort I advancement bony procedure. While effective for improving projection of the upper lip, teeth and nasal base as well as improving the dental interdigitation it leaves behind the the midface structures that lie above the bone cut.This means the infraorbital rim Read More…

Plastic Surgery Case Study – Overlay Implant Augmentation After Custom Cheek Implants

Background: Optimal augmentation around the orbit and cheeks is ideally done with a custom implant design. Some aesthetic cheek augmentations need a significant orbital component, most commonly along the infraorbital rim but may also include the lateral orbital rim as well. Often the desire for such an implant design is learned from the use of Read More…

Plastic Surgery Case Study – Transpalpebral Placement of a Custom Brow Bone Implant for Congenital Brow Bone Asymmetry

Background: Facial asymmetries are not uncommon and can affect any of the facial thirds.Such asymmetries can be more complete affecting multiple facial thirds or they can only involve one of them. The upper facial third or forehead is not spared from such congenital asymmetries although in my experience it is probably less commonly affected than Read More…

Plastic Surgery Case Study – Male ePTFE Paranasal Implants after Custom Cheek and Chin Implants

Background: There are many different types of standard facial implant styles including chin, cheek, nasal, jaw angle, tear trough/infraorbital, temporal and paranasal. Of all these off-the-shelf implant options the paranasal is unique with two distinctions. It is the smallest implant in size and probably the most infrequently used. It is also rarely in my experience Read More…

Plastic Surgery Case Study – Secondary Plagiocephaly Correction with Custom Skull Implant Over Pre-Existing Hydroxyapatite Cement

Background: The skull is prone to numerous contour deformations for which augmentation materials can be used to improve its shape. Plagiocephaly is the most recognized of all the deformational skull shape concerns. While it does affect the entire skull by far the most severely affected area is the back of the head one side being Read More…

Plastic Surgery Case Study – Custom Jawline Implant Replacement for Chin Implant and Radiesse Injectable Filler for Total Jaw Augmentation

Background: Injectable fillers are the most common form of facial augmentation due to their immediate effect and their non-surgical placement. They often are used before facial implant placement either as an initial test or unknowingly as a precursor to a yet unrealized desire for a permanent facial augmentation effect. They can be done to create Read More…

Plastic Surgery Case Study – Strong Jawline Implant Augmentation in the Normal Male Lower Jaw

Background: The definitive augmentation method of the lower face is the custom jawline implant. While chin implants were the original jaw augmentation technique and are still the most common facial implant used their effects are limited to the anterior 1/3 of the lower face and their effects best seen in the profile view. Sometimes patients Read More…

OR Snapshots – Lateral Vermilion Advancements for Improving Upper Lip Shape

The shape and size of the lips has great variability amongst individuals. Each set of lips is so unique that ‘lip prints’ are almost as individualized as finger prints. There is a natural difference in shape between the upper and lower lips due to the presence of the cupid’s bow in the upper lip which Read More…

OR Snapshots – The Effects of a Facelift on a Regional Scar

One of the basic tenets of how facelift surgery works is by translocation or repositioning of tissues. Sagging and loose skin along the jawline and neck is relocated up and back towards the ear where it can be removed with a more discrete scar location. This then means that some fixed structures on the side Read More…

Plastic Surgery Case Study – Custom Forehead Implant for Male Pseudo Brow Bone Protrusion Correction

Background: The forehead occupies a full third of the face in both frontal and side views. With such a large surface area there are numerous topographic features which create its shape and appearance. One major aesthetic feature of the forehead is its inclination (FI) often called the slope. As classically described it is the angle Read More…