Category: custom facial implants | plastic surgery case study

Plastic Surgery Case Study – Custom Jawline Implant for Improving Bony Irregularities of the Jawline After Sagittal Split and Chin Osteotomies

Background: Double jaw osteotomy surgery is very popular today for multiple reasons. Several of the reasons for the surgery today are quite different than they were two or three decades ago. While once reserved primarily for the correction of malocclusions the treatment of obstructive sleep apnea as well as for aesthetic purposes has expanded the Read More…

Plastic Surgery Case Study – Custom Medpor Square Chin Implant Replacement

Background: Custom facial implant designs offer a wide variety of potential facial augmentation changes. On the patient’s 3D CT scan virtually any implant design can be done. But the one important consideration that is not evident in a custom implant design is can it be surgically placed. Because of the overlying soft tissues and incisional Read More…

Plastic Surgery Case Study – Custom Extended Brow Bone Implant and the Hunter Eye Look

Background: Brow bone augmentation is requested for various aesthetic objectives. Besides the obvious reason to augment the lower forehead due to flatter and non-descript brow bones it may also be part of an overall periorbital or eye look. In men this is most commonly known as the Hunter eyes. This refers to a specific eye Read More…

Plastic Surgery Case Study – Removal Of Bulky Medpor Jawline Implants with Custom Silicone Jawline Implants for Improved Correction of Inferior Border Irregularitues After Jaw Osteotomies

Case Study: Jaw osteotomies are commonly performed with high degrees of success and few significant complications. They are very effective at improving lower face proportions and projection as well as occlusal interdigitation. But like all operations it is not perfect and does have some aesthetic tradeoffs. These aesthetic liabilities include bony irregularities and some dimensional Read More…

Use of the Ogee Curve in Custom Cheek Implant Designs

The Ogee curve is a well known and talked about aesthetic facial feature. Looking at the face in the oblique view it is an S-shaped double curve created by the outline or silhouette of the tail of the brow bone along the lateral orbital rim and down across the cheek prominence. It is usually referred Read More…

Plastic Surgery Case Study – 2nd Stage Custom Chin Implant after 1st Stage Verticalk Lengthening Bomy Genioplasty for Maximal Male Chin Augmentation

Background: The bony genioplasty remains the best technique for significant lower facial augmentation particularly when significant vertical lengthening is needed. It is always better in the long term to let the bone create the large chin augmentation effect as opposed to a large implant load on the chin even if it may not create the Read More…

Plastic Surgery Case Study – Custom IOM (Infraorbital-Malar) Implants in the Treatment of the Negative Orbital Vector

Background: One every common aesthetic facial concern is underrate hollowing. This is a general term and differs based on a congenital or aging created deficiency. A congenital under eye problem is a bony deficiency (lack of forward growth projection) while an age-related under eye problem is usually soft tissue related (fat atrophy). In the severest Read More…

Secondary Custom Jawline Implant Replacements

The custom jawline implant has a profound influence on changing the shape of the lower third of the face. By wrapping around the inferolateral bony border of the mandible a unified skeletal expansion effect is obtained that not even jaw osteotomies can not replicate in its 3D effect. Improved jaw shape and definition is obtained Read More…

Plastic Surgery Case Study – Replacement of Unnatural Looking Custom PEEK Infraorbital-Malar Implants With An Improved Custom Infraorbital-Malar Implant Design

Background: The flatter midface has a long history of being treated by the LeFort I advancement bony procedure. While effective for improving projection of the upper lip, teeth and nasal base as well as improving the dental interdigitation it leaves behind the the midface structures that lie above the bone cut.This means the infraorbital rim Read More…

Plastic Surgery Case Study – Transpalpebral Placement of a Custom Brow Bone Implant for Congenital Brow Bone Asymmetry

Background: Facial asymmetries are not uncommon and can affect any of the facial thirds.Such asymmetries can be more complete affecting multiple facial thirds or they can only involve one of them. The upper facial third or forehead is not spared from such congenital asymmetries although in my experience it is probably less commonly affected than Read More…