Category: cheek implants | custom facial implants | plastic surgery case study

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…

Plastic Surgery Case Study – Standard Pectoral Implants for Muscle Atrophy After Shoulder Replacement Surgery

Background: The purpose of pectoral implants is, of course, to augment the size/thickness of the pectoral muscle. While this is an obvious statement it is an important one and represents a key difference from female breast implants. While both types of implants are placed in a submuscular position, breast implants only reside there partially as Read More…

Plastic Surgery Case Study- Male Occipital Knob-Nuchal Ridge (Eagle Wing) Skull Reduction

Background: The bottom of the back of the head (occiput) has numerous similarities to the brow bones of the front of the head. (forehead) They are both at the same horizontal level at the bottom of their primary bone plate ends (which is surprising to many), are locations for various muscular attachments, and can develop Read More…

Plastic Surgery Case Study – Frontal Hairline Advancement with Frontal Bossing Reduction in the High Female Forehead.

Background: The well known proportions of the face are based on horizontal thirds ratios between the upper, mid- and lower face. The forehead or upper third of the face is the easiest to see and assess because it lacks any features other than the eyebrows at its inferior edge. Thus when the forehead is out Read More…

Plastic Surgery Case Study – Very Long-term Followup of The First Custom Jawline Implant

Background: Over a twenty-five year period I have designed and implanted nearly 1,000 custom skull and facial implants for both reconstructive and aesthetic patients. To no surprise much has been learned about the custom implant design process, surgical implantation and their aesthetic effects as well as management of implant-related complications/revisions over that time period. Not Read More…

Plastic Surgery Case Study – Submental Inferior Border Shave Technique for Chin Bone Asymmetries

Background: The chin is embryologically formed in humans by the union of the paired brachial arches that merge and become one in the middle. Most take the chin for granted because we all have them, some more than others. Humans chins are unique because no other animal has them including primates. Even our Neanderthal ancestors Read More…

Plastic Surgery Case Study – Reducing the Overly Prominent Adam’s Apple in a Male

Background: The one gender difference between a male and female neck contour relates to the thyroid cartilages or the Adam’s apple. In women a smooth neck contour is seen while in men a more prominent thyroid cartilage creates variable amounts of visibility. The thyroid cartilages in men are bigger due to hormonal influences which also Read More…

Plastic Surgery Case Study – Chin Implant and Neck Liposuction For Improved Lower Facial Profile

Background: The facial profile consists of several protruding structures that are easily seen and analyzed. Facial profile prominences include the brow bones, nose, lips, chin and neck. (cervicomental angle) Several of these structure have unique relationships to each other and are commonly employed in aesthetic surgery as ‘tandem procedures’. The two most commonly paired facial Read More…

Plastic Surgery Case Study – Open Reduction and Internal Fixation of A Subcondyar Jaw Fracture Through a Preauricular Approach

Background: One of the most common facial bone fractures is that of the lower jaw. The mandible is the second most frequently seen facial bone fractures behind that of the nose. It can be fractured at six different locations along this long facial bone and multiple (bilateral) fractures are common. One area of the lower Read More…

Plastic Surgery Case Study – Setback Otoplasty with Conchal Reduction

Background: The ear has a complex topography on close inspection but is typically overlooked as it sits on the side of the head. It only takes on increased aesthetic significance when it sticks out too far from the side of the head. An increased auriculocephalic angle can be created by alterations in the shape of Read More…