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Composite Jaw Augmentation – Frequently Asked Questions (FAQ)

What is a composite jaw augmentation? A composite jaw augmentation is an advanced facial skeletal procedure that combines a sliding genioplasty (chin bone repositioning) with a custom-designed jawline implant. Together, these techniques improve chin projection, jawline length, width, and overall lower facial definition in a single, coordinated surgical plan. What is a sliding genioplasty? A Read More…

Composite Jaw Augmentation (Sliding Genioplasty + Custom Jawline Implant) Overview

A composite jaw augmentation is an advanced aesthetic facial skeletal procedure that combines controlled chin bone repositioning with a patient-specific jawline implant. This integrated approach optimizes chin projection, jawline length, and mandibular definition through a single, coordinated surgical plan. It is indicated when the chin deficiency is significant enough that it can not be augmented Read More…

Custom Brow Bone Implant Design Options

Brow bone implant designs are customized based on how much projection, width, and shape are needed along the lower forehead and eye area. Based on my extensive custom facial implant experience there are numerous design patterns that patients have needed for specific aesthetic enhancements. These various designs are based on differing brow bone anatomic zones. Read More…

Custom Brow Bone Feminization Reversal -Case Study

Introduction A custom brow bone implant is a patient-specific facial implant designed to enhance or reconstruct the supraorbital rims (brow ridges). Aesthetically, it is most commonly used for facial masculinization or for correction of flat or recessed brows. With the growing popularity of facial feminization surgery (FFS), custom brow bone implants have also become an Read More…

Design Guidelines for Custom Square Chin Implants for Men

While some men that request custom chin implants may not desire a more square chin appearance, many do.Here are some surgeon-experienced  guidelines for designing a custom square chin implant (male or masculinizing focus). 1. Aesthetic Objectives (Square ? Wide) Primary goal: angularity and vertical definition, not excessive transverse width. Emphasize a flat or gently convex Read More…

Square Chin Implants in Men: Design Pitfalls and the Role of Custom Revision

Introduction Men frequently request a squarer, more angular chin when undergoing chin implant augmentation. While there is a standard “square” chin implant design intended to meet this goal, it is often an imperfect solution. In many cases, aesthetic failure occurs due to inherent design limitations and technical placement issues. Common Failure Modes of Standard Square Read More…

Custom Jaw Angle Implant Overlay After TMJ Replacements for Facial Asymmetry Correction Case Study

Introduction Total temporomandibular joint (TMJ) replacement is a surgical procedure in which a damaged jaw joint is replaced with a biocompatible prosthesis to relieve pain and restore function when conservative treatments have failed. It is most commonly indicated for severe degenerative joint disease, including osteoarthritis and rheumatoid arthritis, as well as advanced joint destruction, deformity, Read More…

Chin Feminization Reversal: Surgical Options and Case Study

Introduction Reversal of a feminized chin is one of the more predictable and achievable components of facial feminization reversal surgery. What Feminizing Chin Surgery Typically Does Feminizing chin surgery commonly involves one or more of the following changes: Narrowing of chin width Reduction of chin height or forward projection Rounding or tapering of the chin Read More…

Custom Jaw Angle Implant Overlays: What They Are & How They’re Used

Introduction Improving the appearance of the jaw angle region after prior implant augmentation is not uncommon and is usually very fixable. The correct solution, however, depends on the specific failure pattern of the original implant. Key questions include: Where is the current implant positioned? and What additional dimensions are needed to achieve an improved jaw Read More…

Male Custom Forehead Implant Case Study

Introduction Forehead implants are a surgical option to permanently reshape or augment the forehead, typically used to improve projection for flat or recessed foreheads. The concept of forehead implants may be partial or complete based on whether a brow bone augmentation effect is desired or not (forehead vs forehead-brow bone implant ) For purposes of Read More…

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