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Custom Facial Implants – IX. Brow Ridge Enhancement

A more prominent brow bone is an almost exclusive male aesthetic feature. While all men have some semblance of a brow bone,  some are less defined due to lack of frontal sinus development than others. There are no preformed brow bone implants commercially available and making them by hand out of various materials works so Read More…

Custom Facial Implants – VIII. Raising the Bridge of the Nose

Of all custom facial implants made, the need for custom nasal implant designs is rare. They are so uncommon that in the near 1,000 custom facial implants I have ever designed and implanted, I have only performed a custom nasal implant twice. Due to the wide array of preformed nasal implants in both dorsal and Read More…

Custom Facial Implants – VII. Pulling the Midface Forward

Bringing the midface forward is often a desire from patients with an overall flatter midface profile. Such lack of midface projection may be present naturally (e.g., some Asian faces although it can occur in any ethnicity), may be present after trauma or may be persistent after a prior Lefort I ostetotomy. (incomplete midface correction) It Read More…

Custom Facial Implants – VI. Improving Projection of the Nasal Base

Many flatter midfaces in profile have an inadequate central midface projection. This is often called a ‘Lefort I’ deficiency referencing the procedure used historically to correct it when a Class III malocclusion is present. This is most manifest as a nose that looks sunken in at its base at the nostril level above the upper Read More…

Custom Facial Implants – V. Undereye Hollows and Negative Orbital Vectors

The treatment of undereye hollows has become commonplace with the widespread use of synthetic fillers and fat injections. While providing a solution for these aesthetic undereye concerns, such injection therapies are not perfect. Besides the lack of permanence for either fillers or fat, irregularities and contour issues from the added volume creates a need for Read More…

Custom Facial Implants – IV. The High Cheekbone Look

Standard cheek implants are designed to augment the main body of the cheekbone (zygomatic major) and have an oval shape to do so. This creates an anterolateral fullness which is primarily seen as more of an  ‘apple cheek’ effect in malar styles) and an expanded version of that by filling in the soft tissue area Read More…

Custom Facial Implants – III. Total Jawline Augmentation

Augmentation of the complete lower jaw, more commonly referred to as a custom jawline implant, is one of the most frequently requested custom implants particularly in the younger male. While standard chin and jaw angles implants can be used for the same intended purpose, they are less effective at achieving the complete jawline augmentation effect Read More…

Plastic Surgery Case Study – Male Custom Cheek Implant Replacements for Undesired Aesthetic Effects from Standard Cheek Implants

Background:  Cheek implants have been around for over four decades and have undergone some significant evolution in their shapes and cheek augmentation effects. With three basic implant styles (malar, submalar and combined malar-submalar) and numerous sizes between them many different types of cheek augmentation needs can be met. But what all of these cheek implants Read More…

Custom Facial Implants – II. 3D Chin and Jaw Angle Reshaping

3D Chin Reshaping Custom chin implants are beneficial for different lower facial reshaping effects. They are of great value when trying to achieve vertical chin lengthening, for a more posterior extension of the implant effect back along the jawline towards the angles, and for specific chin shape effects such as square or tapered/v-shaped looks. They Read More…

Custom Facial Implants – I. Introduction and Overview

The Need and Benefits of Custom Facial Implant Designs The number and types of off-the-shelf facial implants styles and sizes has expanded  over the past twenty  years to address patient’s expanding aesthetic desires. Along with increased implant options the different types of materials used to make them has also increased. Besides changing facial beauty standards, Read More…

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