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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…

Combined Infraorbital–Malar–Maxillary Reconstruction (The Custom “Midface Mask” Implant)

Combined infraorbital–malar–maxillary augmentation represents a comprehensive skeletal reconstruction of the central and lateral midface. Commonly referred to as a custom midface mask implant, this technique restores deficient projection across the infraorbital rim, anterior maxilla, paranasal region, and zygomatic body in a single, continuous construct. Unlike isolated infraorbital or malar implants, or even combined infraorbital-malar implant, Read More…

The Effects of Custom Jawline Implants on the Aging Neck – Case Example and Design Principles

Custom jawline implants can play a meaningful role in improving the appearance of the aging neck in older men, but their effect is structural — not a replacement but as an enhancement for soft-tissue rejuvenation. The improvement comes from restoring bony projection and tension to the lower face–neck junction. Here is how they have their Read More…

Decision-Tree Approach to Negative Vector Midface Management – A Structured Surgical Algorithm

A negative orbital vector is a not uncommon aesthetic facial deficiency that is often not recognized leading to ineffective treatments. Negative vector midface deformity refers to posterior positioning of the infraorbital rim and anterior maxilla relative to the globe. Clinically, the corneal apex projects anterior to the infraorbital rim in profile view. This skeletal deficiency Read More…

Biomechanical Analysis of Midface Projection Correction – Implant-Based Augmentation vs. Orthognathic Advancement

Midface retrusion may be corrected through either skeletal augmentation (implant-based reconstruction) or skeletal repositioning (orthognathic advancement). Although both approaches can increase midfacial projection, they differ fundamentally in biomechanical mechanism, load transmission, soft tissue response, and occlusal impact. Analyzing the structural, functional, and biomechanical distinctions between these two strategies allows for good clinical decision making in Read More…

Custom Infraorbital–Maxillary Implants – Case Example and Design Principles

There are numerous strategies for structural midfacial augmentation, some of which are less commonly recognized due to their lower frequency of use. One such procedure is central midface projection enhancement, anatomically termed infraorbital–maxillary augmentation. Infraorbital–maxillary augmentation refers to surgical enhancement of the infraorbital rim and anterior maxilla to improve under-eye support, increase midface projection, and enhance Read More…