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Transcutaneous Custom Jawline Implant Placement: Case Study

Introduction The transcutaneous (external skin) approach for placing or revising jaw angle implants—implants positioned at the mandibular angle—is a recognized technique in aesthetic and reconstructive facial surgery. Unlike the more common intraoral (inside-the-mouth) approach, the transcutaneous method provides direct external access to the mandibular angle, offering certain technical and clinical advantages in selected cases. Indications Read More…

Custom Brow Bone Implant Replacement Case Study

Introduction Brow bone implants are specialized facial implants designed to augment or reshape the brow and forehead region, typically for aesthetic or gender-affirming purposes. True custom brow bone implants are patient-specific and usually fabricated from solid silicone as this is best material to use for any aesthetic onlay skull augmentation surgery. Because these implants are Read More…

Custom Facial Implant Modification – Customizing the Custom Implant

Introduction Custom facial implants are uniquely designed to match a patient’s individual anatomy and aesthetic goals. Unlike stock implants, which come in standardized sizes and shapes, custom implants are created using advanced imaging and 3D design technology to achieve precise symmetry and personalized enhancement. Using specialized CAD (computer-aided design) software, the surgeon and design engineers Read More…

Can a Total Jaw Augmentation and Facelift Be Combined?

In older men with significant neck sagging and a weak jawline, a not uncommon question arises: should a custom jawline implant be combined with a full lower facelift for the best aesthetic result? This presents a unique challenge, as jaw augmentation and neck lifting are closely connected—both anatomically and aesthetically. Understanding the Relationship Between Jaw Read More…

Technical Strategies – Custom Forehead Implant Placement Guides

Introduction Custom forehead implants are designed to enhance or reshape the forehead and brow region—often to achieve aesthetic balance or for gender-affirming purposes. These implants are individually fabricated from silicone or PEEK (polyether ether ketone) using a 3D CT scan of the patient’s skull, ensuring a precise fit that follows the natural contours of the Read More…

Indications for Custom Paranasal Implants Case Study

Introduction Paranasal implants are a well-established method of facial enhancement designed to augment the midface region—specifically the area around the sides of the nose (the paranasal or pyriform aperture region). This portion of the midface may appear flat or deficient due to individual skeletal development, aging, or an aesthetic desire for greater central midface projection. Read More…

Two-Stage Aesthetic Jaw Augmentation: A Case Study

Introduction Chin augmentation is the original and most common form of jaw augmentation surgery. For many patients, it may represent their only effort at lower facial enhancement. Although the chin comprises only about one-third of the total jaw surface area, its prominence makes it the most visually important component of the lower face. Consequently, many Read More…

Standard vs Custom Facial Masculinization Implants Case Study

Background Facial masculinization surgery is most commonly performed at three skeletal levels: Lower jawline Midface (cheeks) Upper brow bones While other areas may be addressed, these regions are the most frequently augmented for masculinizing effects. Each shares a natural convexity, and surgery aims to enhance this by adding projection to otherwise flat or underdeveloped contours. Read More…

Custom Vertical Orbital Dystopia Implant

Eye asymmetry can result from differences in the shape of the bony socket in which the eyeball resides. The eye sits within a cone-shaped cylinder of bone that is widest in the front—where the cornea, iris, and sclera are visible—and narrows at the back to a small opening for the optic nerve to pass into Read More…

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