Top Articles

Forehead Augmentation: Comparative Analysis of Bone Cement and Custom Implant Techniques

Abstract Forehead augmentation is an established craniofacial aesthetic procedure used to alter contour, projection, and symmetry of the upper facial skeleton. Two primary structural methods are employed: intraoperatively sculpted bone cements and preoperatively designed custom implants. Although both techniques provide permanent augmentation, they differ significantly in fabrication method, precision of shape control, surgical requirements, and Read More…

Gender-Specific Design Principles in Custom Forehead Implant Augmentation

Abstract Forehead augmentation using custom-designed implants has become an increasingly refined procedure in craniofacial and aesthetic surgery. However, optimal outcomes depend on recognizing the fundamental anatomical and aesthetic differences between male and female foreheads. This article outlines the gender-specific skeletal characteristics, aesthetic objectives, and implant design principles that guide successful custom forehead augmentation. Female forehead Read More…

Custom Cheek Implants and Zygmatic Arch Augmentation

The zygomatic arch is a key structural and aesthetic component of the midface. In cheek augmentation, it influences width, contour, and facial balance—distinct from the forward projection created at the malar eminence. 1. Anatomical foundation Formed by the zygomatic bone and temporal bone Defines the lateral cheek contour and contributes to facial width Serves as Read More…

Female Forehead Implant Augmentation Concepts

Ideal Female Forehead Contour Side-profile: Smooth, slightly convex curvature Soft brow transition Balanced projection (no bulge) Aesthetic Concept: Curvature, softness, and continuity Augmentation Method Comparisons Fat Grafting Shallow soft-tissue fill Achieves surface refinement Bone Cement Rigid onlay over bone Achieves structural contour change Custom Implant Pre-shaped implant fixed to bone Offers precise shape creation Custom Read More…

Female Custom Forehead Implant Augmentation Case Study

Introduction Female forehead augmentation is designed to enhance a forehead that is flat, concave, irregular, or under-projected by creating a smooth, gently convex, feminine contour. Unlike forehead feminization surgery (FFS), which primarily reduces or sets back bone, forehead augmentation adds volume to refine shape and curvature. The goal is not exaggeration, but subtle refinement. In Read More…

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…

Top Articles