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Case Study – Secondary Vertical Lengthening Bony Genioplasty After A Failed Chin Implant In the Short Female Chin

Introduction Chin augmentation is a powerful tool for improving lower facial balance. Standard chin implants are highly effective for modest horizontal deficiencies (<1 cm). However, when vertical deficiency is present, standard implants often fail aesthetically. Recognizing when vertical lengthening is required is crucial to achieving optimal results. Background Diagnostic Challenge: Vertical chin deficiencies are frequently Read More…

Case Study : The Male Custom Square Chin Implant

Background Chin implants for augmentation are available in a wide range of styles and sizes. However, this variety does not guarantee that every patient’s desired outcome can be achieved with standard, off-the-shelf options. One example is the request for a square chin shape in male patients. While square chin implants exist, in practice they often Read More…

Case Study: Pectoral Implants for Improved Chest Shape and Definition

Background Pectoral implants are the primary method for male chest augmentation. While the procedure may appear somewhat similar to breast implants, the resemblance is limited to the most basic surgical aspects. Both procedures involve creating an implant pocket through an axillary incision beneath the pectoralis major muscle. Beyond this step, however, they differ significantly in Read More…

Trapezius Muscle Implant Augmentation: A Case Study of Two Different Approaches

Background Among aesthetic muscle augmentation procedures, trapezius implants are among the least performed. Their rarity is underscored by the absence of commercially available trapezius implants, indicating low patient demand. Surgeons seeking to augment this muscle typically rely on implants designed for other areas, such as calf implants, or commission custom implants tailored to each patient. Read More…

Calf Implant Surgery: Nerve Anatomy, Technique, and Considerations

Implants remain the most definitive and reliable method of calf augmentation. While fat injections may benefit select patients, calf implants consistently provide a more predictable and effective outcome. Like other extremity implants, calf implants are linear in design, with length greater than width, and are placed in a north–south orientation. The incision is favorably positioned Read More…

Cheekbone Reduction Case Study

Background Patients seeking facial width reduction are usually focused on the cheeks, which are typically the widest part of the face. This width is primarily due to the zygomatic arch, which must curve outward to allow the temporal muscle to pass beneath it and attach to the ramus of the lower jaw. To narrow facial Read More…

Ensuring Proper Orientation of Pectoral Implants

Pectoral implants remain the most effective option for male chest enhancement. While fat injections can add volume, they do not replicate true muscle definition. Instead, they often create a rounded, mound-like contour that lacks the masculine shape most patients desire. Because pectoral implants are placed beneath the pectoralis major muscle, they provide a direct augmentation Read More…

Case Study: Dual Brow Bone Reduction Techniques in Forehead Feminization

Background Brow bone reduction is a common component of facial feminization surgery (FFS) for the upper third of the face. Because the forehead is a highly gender-defining feature, many transfeminine patients undergo forehead-brow bone reduction, most often with the Type 3 (bone flap) technique. This approach allows for significant brow bone setback by removing and Read More…

Chin Lengthening Surgery: How Bone Grafting Helps Healing

When the chin is lengthened through a surgical technique called vertical lengthening genioplasty, a small gap is created in the bone. A fixation plate and screws hold the new chin position securely in place and set the amount of lengthening. However, the plate itself does not determine whether the gap fills in with bone over Read More…

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