Category: custom facial implants | plastic surgery case study

Plastic Surgery Case Study – Custom Infraorbital-Maxillary Implants Placed Under Existing Cheek Implants for Linear Scleroderma

Background: The traditional use of facial implants is based on the most common locations of aesthetic bony augmentation. This constitutes the design of standard implant shapes, most of which provide expansion of existing flat or convex bone contours. Few, if any, standard facial implants provide augmentation to an existing concave bone surface. This is because Read More…

Technical Strategies – The Geometric Split Technique for Custom Infraorbital-Malar Implants

The custom design approach to cheek augmentation allows for an extended and much more versatile midface effect for many patients. Many custom cheek implants become infraorbital-malar designs for a combined undereye and cheek bone enhancement. This is better for many patients as a weaker cheekbone is often associated with undereye hollows given that the bones Read More…

Plastic Surgery Case Study – Custom Lateral Brow Bone Implants for Forehead and Orbital Widening

Background: The presence and size of the brow bone is an important male facial feature. Having a visible brow bone as defined by the presence of a brow bone break into the forehead above it is an upper facial feature that separates most men from women. One can debate about what size this visible brow Read More…

Plastic Surgery Case Study – The Large Custom Jawline Implant

Background: The aesthetic desire for many custom facial implant patients is to have a noticeable but natural looking result. While one could argue that is a very subjective desire, and it is, but what that means to me is that it is a result that is not too big. Thus in the design process one Read More…

Plastic Surgery Case Study – Custom Midface implants for Failed Fat Injections

Background: The forward projection of the midface is a function of facial skeletal development, genetics and one’s ethnicity. Functionally what matters is how the teeth come together and whether there is enough dental overjet for adequate mastication. But short of the alveolus the rest of the midface skeletal development primary affects facial appearance short of Read More…

Plastic Surgery Case Study – Subtotal Sliding Genioplasty Reversal with Custom Chin Widening Implants

Background: A sliding genioplasty is the autologous option for chin augmentation. It is a versatile chin reshaping procedure that can provide horizontal projection, vertical length and even width reduction. The only dimension it can not achieve is chin widening. (which is the antithesis of what an implant can’t do…chin narrowing) Speaking of chin width it Read More…

Plastic Surgery Case Study – Female Custom Forehead Augmentation with Implant Inversion

Background: Given that the size of the forehead occupies one third of the face it is no surprise that forehead reshaping surgery is important to some patients. One of the forehead reshaping procedures is that of augmentation, changing its shape to a more desirable and gender specific appearance. In females this typically refers to a Read More…

Plastic Surgery Case Study – Custom Jawline Implant Replacement in the High Jaw Angle Patient with An Undesired Prior Chin Augmentation Result

Background: The most common style of chin implant is one that provides purely horizontal projection. It works best in patients that need a modest amount of horizontal projection increase and no vertical elongation. While a chin implant can be shifted downward to have its lower edge that sits slightly below the inferior border of the Read More…

Technical Strategies – Intraoral Placement of the Midface Mask Implant

Aesthetic augmentation of the midface is historically done by standard implants such as that of the cheeks, paransasal, premaxillary and tear troughs. While these can be effective for proving volume to ‘spot’ deficiencies, their use is more limited in patients that have an overall midface deficiency. While using various combinations of these standard midface implants Read More…

The Equilateral Triangle Concept in Custom Jawline Implant Design

The shape of the natural jawline has many components which are primarily influenced by its three corners. (chin and jaw angles) Each corner has three dimensions and when all put together, including how they connect, determines what the final shape of the lower third of the face is. The same dimensional considerations applies to the Read More…