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Plastic Surgery Case Study – Custom Midface Pyriform Aperture-Infraorbital-Malar Implant

Background: Custom midface implants create new possibilities for adding increased projection to the middle third of the face. Unlike the numerous off-the-shelf implants which are available (cheek, tear trough, premaxillary and paranasal implants), the custom midface implant provides a global enhancement effect. It is somewhat similar to a LeFort III advancement without dentoalveolar and nasal Read More…

Technical Strategies – Intraoperative Placement of Custom Midface Implants

Custom implants are a paradigm shift in aesthetic augmentations of the midface. While there are numerous off-the-shelf augmentation options such as cheek, tear trough, and pyriform aperture (premaxillary and paranasal) implants, their effects are limited or only a subtotal midface enhancement. While this is what the vast majority of patients seek there is a subset Read More…

Plastic Surgery Case Study – Long Term Replacement of Custom Infraorbital-Malar Implants for Aesthetic Downsizing

Background: The custom infraorbital-malar (IOM) implant is a novel midface augmentation method. Unlike standard cheek and tear trough (infraorbital) implants, this custom implant ties together the front and side of the midface for an overall largely horizontal skeletal expansion effect. This is particularly relevant as many midface deficiencies are often a combination of the two Read More…

Custom Jawline Implants with Vertical Clefts

Custom jawline implants are the definitive method for creating 3D changes to the lower face. In designing a custom jawline implant there are seven specific dimensions that have to be provided to create the desired augmentation effect. These include three for the chin, three for the jaw angles and how one chooses to connect the Read More…

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