Category: custom facial implants | Uncategorized

The Role of Vertical Lengthening in Custom Infraorbital-Malar Implants

Vertical infraorbital rim lengthening is one of the most important—but often under-appreciated—design variables in custom infraorbital-malar (IOM) implants. Its value lies in correcting the three-dimensional skeletal deficiency of the upper midface, not just adding projection. Below is a structured explanation of why it matters biomechanically and aesthetically. 1. What “vertical infraorbital rim lengthening” actually means Read More…

Revisional Setback Bony Genioplasty Case Study

A revision bony genioplasty is a secondary surgery to correct problems from a prior sliding genioplasty. It’s done when the first chin operation didn’t heal, position, or look the way it was intended—or when changes over time create new issues. Common reasons for revision Malposition: chin too far forward/back, too high/low, or asymmetric Nonunion or malunion: the Read More…

Natural Custom Jawline Implant Case Study

Background When patients refer to “natural jaw augmentation,” they usually mean enhancing the jaw’s shape and definition in a way that looks balanced and refined—without appearing obviously “done.” The goal is to strengthen or emphasize the existing jawline while maintaining harmony with other facial features such as the chin, cheeks, and neck. A natural-looking result Read More…

Plastic Surgery Case Study – Head Width Reduction with Temporal Bone and Muscle Removals

Background: The wide or light bulb shaped head is caused by a combination of excessive bone and soft tissue. The temporal muscle makes up a significant part of the width of the head particularly at the anterior temporal area. (temporal fossa) It is disproportionately wide compared to the cheek and jaw bony widths below it. Read More…

Technical Strategies – Temporal Threadlift Knot Removal

A well known minimally invasive facial rejuvenation procedure is the thread lift. This term refers to a concept of lifting sagging facial tissues by placing special designed sutures that can grab onto the subcutaneous tissues to be pulled upward along the line of the suture placement. This occurs as a result of a tied knot Read More…

Plastic Surgery Case Study – Torso Narrowing Rib Removal Surgery in the Transfemale

Background: One of the most common indications for aesthetic rib removal surgery is to narrow the waistline. By removing the outer portions of ribs #11 and #12 the bony structural support of the anatomic waistline is reduced, creating variable amounts of waistline narrowing. I have always added flank liposuction and latissimus dorsi muscle modification/excision to Read More…

Plastic Surgery Case Study – Temporal and Lateral Facial Implants for Correction of Facial Hollowing

Background: The face is prone to fat loss that classically affects the temporal and cheek areas. The fat that lies within the temporal muscle above the zygomatic arch and the fat compartments below the cheekbones can undergo volume loss due to a variety of medical conditions/drugs, aging, weight loss and surgery. Such effects are more Read More…

Plastic Surgery Case Study – Left Male Forehead Augmentation With ePTFE Implant For Asymmetry

Background: Forehead asymmetry can either consist of an excess or a deficiency on one side. While most commonly seen in congenital plagiocephaly a twist of the forehead for whatever reason during development makes one side different from the other. Forehead asymmetries often affect the entire side of the forehead most prominently along the bony temporal Read More…

Plastic Surgery Case Study – Custom Skull Implant for Forehead and Temporal Widening after Orbital Box Osteotomies

Background: Elective skull augmentations are done for a variety of indications most of which are due to aesthetic head shape concerns. Such concerns are simply the way the head developed without any specific reason why. But one event after birth that can change the shape of the head is invasive skull surgery, specifically craniotomies. They Read More…

Technical Strategies – Buccal Fat Pad Intraoral Transposition for Problematic Posterior Mandibular Vestibular Incisions

Surgery of the jaw angle is approached intraorally from the posterior mandibular vestibular incision. From sagittal split osteotomies to angle fractures to aesthetic jaw angle implants this incision provides the most direct access to this bony facial region. It is placed in the depth of the vestibule opposite the second/third molar teeth. Once passing through Read More…