Category: fat grafting | plastic surgery case study

Upper and Lower Lip Vestibular Releases with Dermal-Fat Grafting Case Example

Lip vestibular contracture is an uncommon but challenging problem that occurs when scar tissue shortens the distance between the inner lip and the alveolar sulcus, creating a shallow vestibule. Patients often complain of lower lip tightness, restricted lip movement, and an unnatural smile. In young patients if is most commonly the sequaelae of prior intraoral Read More…

Custom Implant for Female Crown of Skull Augmentation Case Example

A custom crown-of-the-skull implant is designed to increase the height and smooth the contour of the upper central skull (vertex) while maintaining a natural feminine head shape. Unlike implants that widen the sides of the head or augment the back of the skull, a crown implant selectively builds the highest point of the skull to Read More…

Transpalpebral Endotine Browlift in a Male Case Example

A transpalpebral Endotine brow lift is a less commonly performed variation of brow elevation in which the brow is lifted through an upper eyelid (blepharoplasty) incision rather than through scalp incisions. The Endotine device is used to secure the elevated brow tissues to the frontal bone. This technique combines an upper blepharoplasty with a direct Read More…

Female Head Widening Implants Case Example and Design Guidlelines

Female head widening implants are designed to increase the bitemporal width (side-to-side dimension) of the skull in women whose heads appear disproportionately narrow. The goal is not to create a masculine appearance, but rather to produce a smoother, more balanced, and naturally oval cranial shape. The most common indications include: Congenitally narrow head shape with Read More…

Dermal-Fat Grafting for Lower Lip Tightness and Vestibular Contracture After Bony Genioplasty

Lower lip tightness is an uncommon but frustrating complaint that most often occurs after prior surgery (chin implant, genioplasty, V-line surgery, chin reduction, lip procedures), trauma, burns, or scarring from fillers or infections. Patients typically describe a sensation of the lip feeling “stiff,” or “pulled tight” associated with increased lower incisor show and with some Read More…

Custom Female Forehead Implant Case Example with Long Term Followup

Custom forehead implants in women are fundamentally different from those designed for men. The objective is not to create a prominent brow ridge, but rather to create a smooth, gently convex forehead with improved upper facial harmony while preserving feminine skeletal characteristics. The Ideal Female Forehead An aesthetically pleasing female forehead typically has several defining Read More…

Male Paranasal Implants Case Example

Paranasal implants are custom-designed or standard implants placed over the piriform aperture and paranasal (premaxillary) region to increase support and projection beside the base of the nose. They are among the most effective procedures for correcting a recessed central midface. What They Correct Paranasal implants improve: Deficient projection around the nasal base A deep nasolabial Read More…

Male Extended Corner of Mouth Lifts Case Example

An extended corner of the mouth lift (ECML) is a modification of the traditional corner of the mouth lift (CML) that extends the excision beyond the commissure and onto the lateral upper lip. It is designed for patients in whom simply elevating the oral commissure is insufficient to create a more youthful or aesthetically pleasing Read More…

Combining a Custom Jawline Implant, Paranasal Implants, and Corner of Mouth Lifts Case Example

Many patients seeking facial enhancement have deficiencies that extend beyond a weak jawline. While a custom jawline implant can create a stronger, more defined lower face, optimal facial balance often requires addressing the midface and perioral region as well. Combining a custom jawline implant with paranasal implants and corner of mouth lifts provides a comprehensive Read More…

Small Custom Implants for Minor Skull Contouring Case Example

Small custom skull implants are a niche application of cranial augmentation used to correct localized contour irregularities rather than significantly enlarge the skull. They are ideal for patients who have subtle asymmetries, depressions, or flat spots that are noticeable in certain lighting or with short hair but do not require a large implant. Common indications Read More…