Category: custom facial implants | sliding genioplasty | technical strategies

Technical Strategies – Opening Wedge Genioplasty with Custom Jawline Implant For The Vertically Short Chin and Jawline

Vertical lengthening of the chin is an interesting procedure that entails different considerations than traditional horizontal chin augmentation. It differs because the techniques to elongate the chin are not well known or used as the diagnosis of vertical chin deficiency is frequently overlooked. From a traditional standpoint vertical chin lengthening was perceived as only being Read More…

Plastic Surgery Case Study – Female Custom Jawline Implant for V Line Jaw Reshaping in Treacher Collins Syndrome

Background: Syndromic jaw deficiencies represent the most severe lower facial deformities that occur. There is a spectrum of such congenital craniofacial deformities of which hemifacial microsomia and Treacher Collins are the most recognized. What these syndromes share in common is that the branchial arches are affected which results in varying degrees of mandibular underdevelopment as Read More…

Technical Strategies – The Hemi Lower Blepharoplasty Incision for Custom Infraorbital-Malar (IOM) Implant Placement

The midface equivalent of the custom jawline implant of the lower face is the custom infraorbital-malar (IOM) implant. Besides the break for the nose this is an implant that augments the convexity of the midface from under the eye out onto the zygomatic body and arch. While it is possible in some smaller IOM implants Read More…

Plastic Surgery Case Study – Custom Wrap Around Jawline Implant in Lower Jaw Asymmetry

Background: Like the rest of the face the lower jaw forms from paired branchial arches that meet and fuse in the middle to create its final shape in utero. How well these complex embryologic processes form and merge is what determines how symmetric the two sides of one’s lower jaw will be. In an incredible Read More…

Technical Strategies – Vancomycin-Loaded Antibiotic Wells in Facial Implants for Infection Prevention

The development of postoperative infection is the main medical risk in most implant type surgeries. While the superior vascular supply to the face allows a lower risk of infection of implant placements in the face than in body implants, these procedures are still not infection free. This is particularly relevant when facial implants are placed Read More…

Plastic Surgery Case Study – Custom Jawline Implant in V Line Jaw Restoration Reduces inferior Nerve Symptoms

Background: V line surgery, sliding genioplasty and chin wing osteotomies all place the intrabony course of the inferior alveolar nerve at risk of injury. While the exit of the nerve from the bone at the mental foramen can be seen during surgery, the bone cut must be lower than the foramen level. The nerve has Read More…

Plastic Surgery Case Study – Male Custom Extended Forehead-Skull Implant for Total Front To Back Skull Augmentation

Background: Forehead augmentation has been done by numerous techniques over the years. Historically it has been most commonly done by bone cements but has largely been replaced today by custom forehead implant designs. Establishing the exact dimensions needed and in a smooth fashion from top to bottom and from side to side is most accurately Read More…

Plastic Surgery Case Study – Custom Midface Implant Replacements for Standard Cheek Implants in Developmental MIdface Deficiency

Background: The historic use of preformed standard cheek implants creates fullness in the mid- to lower anterior cheek region. This augmentation effect has a specific oval-type appearance due to the shape of the implant. While this is frequently effective for many women it usually is not for men. Men prefer a higher cheek augmentation effect Read More…

Plastic Surgery Case Study – Custom Jawline Implant for the High Angle Jaw Deformity with a Pronounced Antegonial Notch

Background: The shape of the lower jaw is determined by the development and growth of numerous bony elements dominated by the chin and jaw angles. The jaw angles in particular are of great importance because they are a pair of them and they serve as a primary growth center of the lower jaw. Thus as Read More…

The Design Process of Custom Jawline Implant Replacements for Standard Chin and Jaw Angle Implants

Replacing standard jaw implants with a custom jawline implant is not an uncommon upgrade for some patients. While standard chin and jaw angle implants can produce good results in the properly selected patient, their lack of connectivity creates the potential for malpositioning and difficulty with symmetry at the jaw angles. It is important to think Read More…