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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…

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…

Trabnspalpebral Tail of the Brow Bone Reduction Reversal Case Example

Brow bone reduction reversal means trying to restore projection to the brow after it has been surgically reduced. Most patients seeking reversal want: More brow prominence A stronger / more masculine contour Restoration of pre-transition facial structure (common in detransition cases) Correction of over-reduction Regardless of the type of brow bone reduction done, burring or Read More…

Mouth Widening Surgery Technique (Lateral Commissuroplasty – Aesthetic Widening)

This is a technically delicate procedure because the oral commissure is a muscular convergence zone, not just a skin corner. Precision and conservative movement are critical. Preoperative Planning A. Measurement Determine desired amount of widening Mark vertical reference lines from: Medial limbus Mid-pupil (smile position) Avoid going lateral to mid-pupil in most aesthetic cases. B. Read More…

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