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Relaxed Skin Tension Lines of the Face and Scar Revision

Patients frequently request revision of scars from traumatic injuries for improvement, The pertinent question is upfront is what is the likelihood that such scar revisions will make it look better or less visible. This answer partially lies in understanding the concept of RSTLs and the scar’s relationship to them. Relaxed skin tension lines (RSTLs) of Read More…

Custom Zygomatic Arch Implant Designs

When designing a custom zygomatic arch implant, the primary goal is usually not projection but controlled lateralization of the arch to create the desired increase in upper facial width while maintaining a natural skeletal contour. Key Design Parameters 1. Amount of Width Increase This is the most important variable. Typical augmentation: 3–5 mm per side: Read More…

Zygomatic Arch Implants – A Unique Facial Augmentation Concept

A zygomatic arch implant is a facial skeletal implant designed to increase the projection and width of the zygomatic arch, which is the bony arch that extends backward from the cheekbone toward the ear. It is a cheek implant but not creating a traditional form of cheek augmentation. Anatomy The cheekbone region consists of: Malar Read More…

Combining Rib Removal and Buttick Augmentation Body Contouring Surgeries

Rib removal (or more commonly partial 10th/11th/12th rib resection for waist narrowing) and buttock augmentation can be combined in a single operation, but whether it is advisable depends on the specific buttock procedure and the patient’s anatomy, operative time, and risk profile. Key considerations: Positioning: Rib resection is usually performed with the patient prone or Read More…

Combining Shoulder Narrowing and Rib Removal Body Contouring Surgeries

Can shoulder narrowing  and rib removal body contouring surgeries be done at the same time…and what would the recovery be like?   Yes, shoulder reduction (clavicle shortening) surgery and rib removal/waist narrowing surgery can technically be performed during the same operation, but it is generally considered a demanding combination with a more difficult recovery than Read More…

Can AI-Generated Face Images Be Recreated with Custom Facial Implants?

Ai Facial Imaging Replication – Understanding What Is Possible Artificial intelligence (AI) can now create highly realistic images of faces. Some people use these images to visualize facial features they would like to have, such as a stronger jawline, more prominent cheekbones, a more projected chin, or better facial balance. A common question is: “Can Read More…

Silicone Sheeting for Facial Soft Tissue Lipoatrophy Augmentation

Silicone sheeting is most commonly used as an external scar treatment but its less known as an implant material for facial soft tissue augmentation. This is a concept that has been explored historically but is rarely used today in a pure sheet form. Silicone Sheeting as an Implant Thin sheets of medical-grade silicone can be Read More…

Facelift – Before, During or After Custom Jawline Implants

While jaw implant augmentation can be done at any age if a structural deficiency exists management of loose or sagging overlying soft tissues is usually more age dependent. But in contemporary facial surgery we are seeing much younger patients seeking face/necklift surgery. Weight loss, early onset aging in structurally weaker faces and the desire for Read More…

Deciding Between A Custom Infraorbital or Infraorbital-Malar Implant Design

One of the more contemporary and increasingly popular facial reshaping changes that has grown in demand due to custom implant designs is that of the periorbital region, specifically the upper midface along the infraorbital rims and cheekbones. Structural deficiencies in this area even in young people cause undesired effects of undereye hollowing and weak cheekbones. Read More…

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