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…

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 – Occipital Skull Reduction of Central Bony Protrusion

Background: The shape of the back of the head is controlled by both internal and external factors. During development the push of the brain creates an internal expanding force. This may become more manifest if the overall shape of the head is more narrow. But external forces such as in utero and postnatal head positioning 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…

Plastic Surgery Case Study – Custom Skull Implant for Coverage of Parietal Skull Indentations

Background: The shape of the skull is affected by many factors from in utero development to after birth external molding influences. This can result in non-smooth surfaces and irregular convex skull contours. While most people have an intimate knowledge about the shape of their skull, usually by feel, when it becomes exposed as can occur Read More…

Plastic Surgery Case Study – Dorsal Augmentation Rhinoplasty with a Chin Bone Graft

Background: Augmentation of the bridge of the nose, known as dorsal augmentation, is a common need in certain types of rhinoplasty surgeries. Low nasal bridges occur for a variety of reasons but the most common is genetic…this is just the way the nose developed. This is seen particularly in certain ethnicities such as Asian and Read More…