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Surgical Techniques to Safely Remove Medpor Facial Implants

Safe removal of Medpor implants is really about controlled dissection, preservation of vital structures, and managing the consequences of tissue ingrowth. Surgeons approach it more like a reconstructive exposure procedure than a simple explant. Here are the key techniques: 1. Meticulous Layer-by-Layer Sharp Dissection Primary principle: never “pull”—always cut the ingrowth Use: Fine scissors Scalpel (often #15 blade) Needle-tip cautery Read More…

Challenges in Medpor Facial Implant Removals

  Medpor (porous polyethylene) facial implants are designed to integrate with surrounding tissue, which is great for stability—but that same feature makes removal significantly more difficult than with smooth implants (like silicone). Here are the main challenges surgeons face: 1. Tissue Ingrowth (Primary Issue) Medpor is porous, allowing fibrovascular tissue to grow into it. Over time, the Read More…

When Adding an Implant Improves the Outcome of a Facelift

Does adding an implant (standard or cusom) actually improve the aesthetic outcome over just a facelift alone?” Short answer: sometimes yes—but only when there’s a structural deficiency to fix. Otherwise, it can add complexity without meaningful benefit. Here’s the practical way to think about it: When an implant does improve the facelift result A facelift Read More…

When Adding an Implant Improves the Outcome of a Facelift

Does adding an implant (standard or cusom) actually improve the aesthetic outcome over just a facelift alone?” Short answer: sometimes yes—but only when there’s a structural deficiency to fix. Otherwise, it can add complexity without meaningful benefit. Here’s the practical way to think about it: When an implant does improve the facelift result A facelift repositions soft tissue. If Read More…

Reshaping the Round Face – Implant and Soft Tissue Reduction Strategies

For a round face, the goal is to shift from a circular, width-dominant shape to something more vertically defined and angular. With custom implants, you’re adding structure—but in round faces, soft tissue thickness is often the limiting factor, so reduction plays a bigger role than usual. Here’s how to think about the best combinations: Core Read More…

Reshaping the Round Face – Implant and Soft Tissue Reduction Strategies

For a round face, the goal is to shift from a circular, width-dominant shape to something more vertically defined and angular. With custom implants, you’re adding structure—but in round faces, soft tissue thickness is often the limiting factor, so reduction plays a bigger role than usual. Here’s how to think about the best combinations: Core Strategy for Round Read More…

Custom Facial Implants – Mechanisms of Intraoperative Misplacement

There are two factors that determine the success of custom facial implants, the implant design and its intraoperative placement. The implant design is assured, as it is seen and chosen before surgery, but placing the implant(s) exactly how it is designed is not. Such implants can end up a few millimeters off or more from Read More…

Custom Facial Implants – Techniques in Intraoperative Placement

Some surgeons falsely allege and some patients erroneously assume that a custom facial implant just snaps into place because of its design with an underlying shape that mimics the surface anatomy of the bone on which is placed.  There is also the mistaken belief that certain implant materials (aka PEEK) are better because of this Read More…

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