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Custom Occipital-Parietal Temporal Skull Implant Overlay Case Example

A custom skull implant overlay (sometimes called a “topper implant” or stacked skull implant) is a secondary implant designed to sit on top of an existing skull implant to increase projection or refine contour without replacing the original implant. Concept The original implant acts as the base implant that establishes the footprint on the skull. A secondary overlay implant is designed to fit precisely over that base implant within the Read More…

Love Band Surgery (Aeygo-Sal Surgery) – Tunnel Graft Technique

Love band surgery (also called Aegyo-sal surgery) is a cosmetic procedure that creates or enhances the small puffy roll just under the lower eyelashes. This feature makes the eyes What the “love band” is It’s the natural fullness directly under the lower eyelid, right beneath the lash line. It’s common in children and young people Read More…

Design Patterns in Vertical L:engthening Custom infraorbital-Malar Implants

In custom infraorbital–malar (IOM) implant design, vertical infraorbital rim lengthening can be conceptualized in three different design patterns based on how aggressively the orbital–malar relationship is altered. These patterns are useful during planning because they correspond to different anatomical problems and aesthetic goals. 1. Subtle Vertical Rim Lengthening (Contour enhancement pattern) Concept A small inferior Read More…

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…