Category: custom facial implants | jawline reshaping | plastic surgery case study

Plastic Surgery Case Study – Custom Jawline Implant Replacement for Standard Chin and Jaw Angle Implant Asymmetries

Background: The historic approach for total jawline augmentation is the use of standard chin and jaw angle implants. With a large array of implant styles and sizes, improved jawline definition can always be obtained. While most patients understandably focus on how much jawline improvement will be obtained, the use of standard implants poses a potential Read More…

Plastic Surgery Case Study – Vertical Lengthening Custom Jawline Implant and Lower Facial Rejuvenative Effects

Background: The proportions of the face are well known and are divided into thirds. This can be assessed in its the frontal and profile views as it is a vertical assessment. While this is not the only way to assess how balanced the face is it is one of the most obvious and basic that Read More…

Technical Strategies – Direct Incision Placement of Soft Tissue Augmentation of Jaw Angle Soft Tissue Defects

Jaw angle augmentation with implants has become popular both as an isolated procedure as well as part of total jawline augmentation. In placing implants over the bony jaw angle region it is necessary to elevate the internal surface of the masseter muscle off of the bone. And in some cases when the implant needs to Read More…

Custom Facial Implants – XII. Getting Out of the Standard Facial Implant Mindset

The custom design and manufacturing process allows a virtual unlimited number of facial implant styles and sizes to be created. There is almost no implant shape that this process can not make if desired. Unlike standard facial implants, whose effects are limited by their smaller shapes and sizes, custom facial implants allow their resultant external Read More…

Custom Facial Implants – XI. Wider Foreheads and Enhanced Head Widths

The temporal area is a unique facial implant site for augmentation because it is not a skeletally based implant site and technically is not on the face. It is really augmentation of the temporal muscle, whether it is the non-hair bearing traditional temporal hollows (anterior temporal zone) or the hair-covered posterior temporal zone above and Read More…

Custom Facial Implants – X. Forehead Reshaping

Forehead augmentation is sought after by both men and women almost equally. Men typically seek the procedure to either correct a retroclined forehead slope or develop an overall stronger with more prominent brow bones. Women usually seek to have a rounder and more convex forehead with increased verticality. (i.e., the forehead is too flat or Read More…

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…