Category: custom facial implants | plastic surgery case study | sliding genioplasty

Plastic Surgery Case Study – An Autologous-Implant Approach to Jawline Augmentation with a Sliding Genioplasty and Custom Extended Jaw Angle Implants

Background: Aesthetic enhancement of the lower jaw, also known as jawline augmentation, can be done by several different methods. For the sake of clarification, jaw augmentation means more than just chin augmentation. It means enlargement of the entire inferolateral border of the mandible from one jaw angle across the chin to the other jaw angle. Read More…

Plastic Surgery Case Study – Secondary Submental Chin Pad Excision/Tuck after Prior Intraoral Chin Reduction

Background: Since chin reduction is not as commonly requested or performed as chin augmentation the techniques to do so are not often well understood. In the traditional macrogenia female, the reflex operation for most plastic surgeons is an intraoral burring chin reduction technique. It is a reflex operation because the first thought is in how Read More…

Plastic Surgery Case Study – Medpor Implant Removals with Custom Chin Implant Replacement after Sliding Genioplasty

Background: While the sliding genioplasty can produce a variety of bone movements, its most common dimensional change is horizontal advancement. While the benefits of horizontal bone advancement are seen in the front end of the chin, there are potential liabilities at its back end. As the chin bone is advanced, depending on how much it Read More…

Plastic Surgery Case Study – Female Custom Jaw Angle Implants after a Sliding Genioplasty

Background: Chin augmentation is a very common facial reshaping procedure that is very effective. But there is one fundamental misconception about it that is particularly prevalent today that historically was not an issue. While the chin is a part of the lower jaw, chin augmentation is not a jawline augmentation procedure. More specifically stated chin Read More…

Plastic Surgery Case Study – Sliding Genioplasty and Submental Liposuction in the Congenitally Short Lower Jaw Female with a Round Face

Background: While the techniques for chin augmentation between men and women are similar, the flavor of the facial reshaping change is different. While most men favor a strong projected lower third of the face, most women opt for a somewhat softer chin projection. The classic bringing the chin projection out to a vertical line dropped Read More…

Plastic Surgery Case Study – Transpalpebral PMMA Bone Cement Temporal Implant Replacement

Background: Temporal augmentation can be done for either a reconstructive or an aesthetic purpose. Most reconstructive temporal augmentations are either due to a craniotomy defect or loss of normal muscle fill of the concave bony temporal fossa from surgery or trauma. Such augmentations take a more craniofacial approach and use various forms of bone cements Read More…

Plastic Surgery Case Study – Custom Orbital Floor-Rim Implant in the Treatment of Aesthetic Vertical Orbital Dystopia

Background: Vertical orbital dystopia (VOD) is usually a developmental asymmetry of the periorbital region. While it can occur in isolation it is usually part of an overall facial asymmetry where the affected face is vertically shorter or more compressed than the opposite side. It presents in two forms differing in the degree of inferior eye Read More…

Plastic Surgery Case Study – Medpor Jaw Angle Implant Removals with Custom Jaw Angle Implant Replacements in a Female

Background: There are a handful of materials that have been historically used for facial implants. While solid silicone is the original and still most commonly used facial implant material even today, other materials have played a more limited but persistent role. The most weak known of these is porous polyethylene, better recognized as Medpor. It Read More…

Plastic Surgery Case Study – Male Nuchal Ridge Skull Reduction Using a Tunnel Technique

Background: While the front of the skull (forehead) has several notable bony features, the topography of the back of the skull is less appreciated. Part of this lack of recognition is that it is the most difficult area of the skull to see and because its potential bony features only appear when they are Read More…

Plastic Surgery Case Study – Tertiary (3rd) Female Chin Reduction by a Submental Technique

Background: Chin reduction is a very different operation than chin augmentation. Expansion of a projecting structure is far easier to successfully accomplish than a reduction of it. The best illustration of this difference is the corollary of aesthetic breast surgery. The use of a breast implant expands the overlying soft tissues and soft tissue excess Read More…