Category: chin osteotomy | chin reduction | custom facial implants | plastic surgery case study

Plastic Surgery Case Study – Submental Vertical Chin Reduction and Custom Implant Reshaping Through The ‘Mobile Window’

Background: Aesthetic manipulation of the chin can be done using a variety of implant and bone reshaping techniques. Implants provide various dimensions of augmentation. Bone reshaping is more versatile being capable of both horizontal and vertical increases as well as horizontal, vertical and width reductions. In some patients implants and bone reshaping techniques may be Read More…

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

Background: The historic approach to complete jawline augmentation is with the use of standard styles and sizes of chin and jaw angle implants. This three implant approach can be effective but is prone to asymmetries of implant positioning, an incomplete jawline effect and limitations of shapes and sizes of implants that are commercially available. The Read More…

Plastic Surgery Case Study – Custom Jawline implant for Asymmetry after Sagittal Split Ramus Osteotomies

Background: Orthognathic surgery is the collection of facial osteotomy procedures that have been done for more than fifty years. One of the most commonly performed is the sagittal split ramus osteotomy or the SSRO. This incredibly clever osteotomy design, as the name implies, sections the ramus or angle area of the lower jaw into two Read More…

Plastic Surgery Case Study – Strong Male Facial Masculinization with Custom Cheek and Jawline Implants

Background: The external appearance of the face is highly influenced by its bony foundation. While the overlying soft tissue also makes important contributions the overall gestalt of the face is framed by its skeletal structure. Such influences are well known by many of the basic gender differences in the male and female face and is Read More…

Plastic Surgery Case Study – 3D Custom Infraorbital-Malar Implants Improve Lower Eyelid Support/Position

Background: The shape of the eye is influenced by all the tissue elements that comprise it. Its foundation is that of the bone, in particular the circumferential bony rim onto which much of the eyelids attach. It is not surprising therefore that eyelid shape, particularly that of the lower eyelid, is directly influenced by that Read More…

Plastic Surgery Case Study – Custom Right Cheek and Jawline Implant for Facial Asymmetry Correction

Background: It is said that no face is perfectly symmetric and some asymmetry is actually attractive. While these time honored statements are true, they really apply to facial asymmetries that are more of a modest nature. To those patients so affected with more significant facial asymmetries, they would undoubtably not agree. Thus improvements in many Read More…

Plastic Surgery Case Study – Combined Custom Infraorbital-Malar and Pyriform Aperture Implants for MIdface Augmentation

Background: The flatter midface manifests itself often in the presence of a normal occlusion. This may be because the patient has a history of orthodontics which has normalized the occlusion but this does not change the shape of the bone above the alveolus. But often the midface recession is mild and not the typical degree Read More…

Technical Strategies – Maxillary Placement Tab in Custom Cheek Implants To Aid Symmetric Placement

The placement of facial implants has a major influence on their aesthetic outcome, particularly that of symmetry. Temporal, cheek and jaw angle implants are particularly prone to postoperative asymmetries because they usually paired or bilateral placements. While the placement of bilateral facial implants may seem uncomplicated and straightforward to do, the reality is that they Read More…

Volumetric Comparisons of Custom Skull and Facial Implants vs Injectable Fillers and Fat

In the area of facial augmentation three fundamental treatment approaches exist, injectable fillers, fat injections and implants. Each has their specific advantages and disadvantages but they are not necessarily interchangeable. Each treatment approach differs in aesthetic outcomes, cost, permanency and how they are applied. While some surgeons view these three facial augmentation approaches as a Read More…

Plastic Surgery Case Study – Older Male Custom Infraorbital-Malar and Jawline Implants

Background: Beyond the effectiveness of surgical implants, their long-term existence in the human body leaves a record of the technology of the devices at the time of their placement. Facial implants are no different in this regard and what was used decades ago isdifferent today. The use of 3D CT imaging allows for the identification Read More…