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Plastic Surgery Case Study – Custom Jawline Implant for Smoothing The Irregular Inferior Border After Bimax Advancements and Sliding Genioplasty

Background: There are two basic autologous methods of changing the shape/position of the lower jaw. The sagittal split ramus osteotomy (SSRO) moves the body and symphysis bone while the sliding genioplasty (SG) repositions the symphysis (chin) bone. Both do so by cutting through the entire vertical length of the involved jaw bone done through its Read More…

Plastic Surgery Case Study – Custom Left Testicle Implant Replacement Combined with Right Testicle Implant Enhancement

Background: While testicle implants have been available and used for decades their aesthetic effects have not always been good. I have seen and replaced many testicle implants placed for reconstruction and the reasons for replacement have always been the same. It is a classic triad of symptoms that includes implants that are too small, too Read More…

Plastic Surgery Case Study – Custom Jawline Implant Design Leaving Existing Chin Implant in Place For Its Labiomental Fold Benefits

Background: Chin implants historically were the original jaw augmentation procedure. That remained so until the introduction of the jaw angle implant in the 1990s which provided the ability to augment another part of the lower jaw. But jaw angle implants never really became as popular as chin implants for a variety of reasons, much of Read More…

Plastic Surgery Case Study – Total Head Reshaping with Custom Five Surface Skull Implants

Background: The skull is composed of five surfaces that together make up the total shape of the head. Three of them are pure bony in composition and are sagittal in orientation, the front (forehead), top of the head, and back of the head. The paired sides of the head make up the other two and Read More…

Plastic Surgery Case Study – Abdominal Implants in the Male Tummy Tuck Patient

Background: The appearance of an ultra fit abdomen is the ability to see the outline of the rectus muscles. While the rectus muscle is vertical in orientation it is sectioned into quadrants by horizontal tendinous fascial bands known as inscriptions. There are three in number usually located across the belly button inferiorly, the xiphoid process Read More…

Plastic Surgery Case Study – Custom Infraorbital-Malar-Maxillary Implants after Aesthetically Unsuccessful Modified LeFort III Osteotomy

Background: Augmentation of aesthetic facial deformities are common procedures of which the lower third of the face (chin and jaw) is the most common. Augmentations of the upper two-thirds of the face is also done although lesser in number with the middle third of the face (cheeks, midface) being done more often than the upper Read More…

Plastic Surgery Case Study – Custom Skull Implant for Correction of Flat Back of Head with Crater Indentation

Background: The back of the head is prone to the greatest frequency of aesthetic shape deformations. This is no surprise given that the back of the head is exposed to the greatest amount of external forces from how the fetus lays in utero to how the baby lays after birth and beyond. When this is Read More…

Plastic Surgery Case Study – Secondary Placement of Custom Superolateral Onlay Periorbital Implants

Background: The periorbital rim of bone around the eye can be aesthetically augmented but how it can be done is not well known. The only standard orbital rim implant is the tear trough implant, a limited spot implant of the infraorbital rim. Its original use was to treat an external indentation at the inner half Read More…

MZ Cat Eye Lifting

Brow lift surgery has been around for over a half century and numerous techniques have been described in how to perform it. Regardless of the technique used the fundamental approach has been differences in how the technique is applied based on gender. The differences in the shape of the female vs male eyebrow shape is Read More…

Plastic Surgery Case Study – Buttock Implant Replacements for Size Increase – How Much More Can Be Secondarily Achieved?

Background: Implants remain the definitive buttock augmentation procedure when fat grafting (BBL surgery) has ‘failed’ or there are inadequate fat stores to harvest. While implants provide an assured volume outcome their long-term success (lack of immediate or relayed complications) is highly dependent on the tissue pocket in which it was placed. As a general rule Read More…