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Plastic Surgery Case Study – Male Custom Cheek Implant Replacements for Undesired Aesthetic Effects from Standard Cheek Implants

Background: Cheek implants have been around for over four decades and have undergone some significant evolution in their shapes and cheek augmentation effects. With three basic implant styles (malar, submalar and combined malar-submalar) and numerous sizes between them many different types of cheek augmentation needs can be met. But what all of these cheek implants Read More…

Plastic Surgery Case Study – Standard Pectoral Implants for Muscle Atrophy After Shoulder Replacement Surgery

Background: The purpose of pectoral implants is, of course, to augment the size/thickness of the pectoral muscle. While this is an obvious statement it is an important one and represents a key difference from female breast implants. While both types of implants are placed in a submuscular position, breast implants only reside there partially as Read More…

Plastic Surgery Case Study- Male Occipital Knob-Nuchal Ridge (Eagle Wing) Skull Reduction

Background: The bottom of the back of the head (occiput) has numerous similarities to the brow bones of the front of the head. (forehead) They are both at the same horizontal level at the bottom of their primary bone plate ends (which is surprising to many), are locations for various muscular attachments, and can develop Read More…

Custom Facial Implants – II. 3D Chin and Jaw Angle Reshaping

3D Chin Reshaping Custom chin implants are beneficial for different lower facial reshaping effects. They are of great value when trying to achieve vertical chin lengthening, for a more posterior extension of the implant effect back along the jawline towards the angles, and for specific chin shape effects such as square or tapered/v-shaped looks. They Read More…

Custom Facial Implants – I. Introduction and Overview

The Need and Benefits of Custom Facial Implant Designs The number and types of off-the-shelf facial implants styles and sizes has expanded over the past twenty years to address patient’s expanding aesthetic desires. Along with increased implant options the different types of materials used to make them has also increased. Besides changing facial beauty standards, Read More…

Plastic Surgery Case Study – Long-Term Result from Right Custom Pectoral Implant in a Male Poland’s Patient

Background: Poland’s syndrome is a well known congenital condition that causes lack of pectoral muscle development on one side. Other structures may be affected (ribs, upper extremity) but the one consistent feature is the underdevelopment of the pectoral muscle. This is the primary feature in which a male patient presents for aesthetic improvement. In men Read More…

Technical Strategies – Achieving A Tapered Chin Shape with a Modified Anatomic Chin Implant

Chin augmentation using implants offers a wide variety of different shapes as perceived from the front view. While men may prefer a wider or more square shape, women usually prefer a more narrow or tapered chin shape. When looking at the most common chin implant style used, the extended anatomic style, the chin will acquire Read More…

Technical Strategies: Avoiding Upper Lip Vermilion Disproportion in Subnasal Lip Lifts with Lateral Vermilion Advancements

The subnasal lip lift is a well known upper lip reshaping procedure. By removing an irregular pattern of skin from the nasal base area, the upper lip is vertically shortened. With that comes an increase in the size of the cupid’s bow region with some increase in upper tooth show as well. But it is Read More…

The Tom Brady Chin Dimple Procedure

I had a patient in the distant past that wanted a procedure to give him ‘Tom Brady’s chin dimple’. In considering such a procedural request the fundamental question is why do chin dimples occur? What is their anatomic makeup? First chin dimples must be differentiated from chin clefts. A dimple is a circular indentation of Read More…

Can Custom Facial Implants Break Or Become Displaced By Trauma?

One of the very common questions patients ask about facial implants, and in particular custom implants, is what will happen to them if they are exposed to external trauma. With the implant fracture, become displaced or even make the bone more susceptible to being fractured? Most of these questions are based on potential sports-related trauma Read More…