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The Submental Placement Technique in Custom Wraparound Jawline Implants

The submental approach is the most common method for placement of a one-piece custom jawline implant because it provides direct access to the chin and both mandibular body regions through a single, well-hidden incision beneath the chin through which the implant is introduced. It is particularly advantageous for large wraparound implants that extend from angle 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…

The Role of Septal Columellar Strut Grafts in Nasal Tip Reshaping

A septal columellar strut graft is one of the most fundamental structural grafts in rhinoplasty. Positioned between the medial crura of the lower lateral cartilages within the columella, it acts as an internal support beam for the nasal tip. While it does not directly create a new tip shape, it provides the stable framework upon Read More…

Female Custom Forehead Implant Design Concepts

A custom female forehead implant is designed to create a smoother, fuller, and more feminine forehead contour while preserving the natural aesthetic characteristics of the female upper face. Unlike a standard implant, it is custom-designed from a 3D CT scan to precisely match the patient’s skull anatomy and desired amount of augmentation. Key design concepts Read More…

Understanding the Relatively High Rate of Custom Facial Implant Revisions

One of the paradoxes of custom facial implants is that while they provide the most precise method of facial skeletal augmentation, they also have a higher revision rate than most standard cosmetic implant procedures and almost any other aesthetic facial surgery. Depending on the facial region and the surgeon’s experience, revision rates of 15–30% are not 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…

The Embryology of Facial Asymmetries

One of the key elements of beauty which is well known is that of facial symmetry. Many patients that present for facial reshaping surgery have various degrees of facial asymmetry, some greater than others. As a result a common question patients often ask is why do they have such facial a symmetries? Once the embryologic Read More…

The Challenges of Aesthetic Hip Implants

Hip implants for aesthetic body contouring are among the most technically demanding procedures in implant surgery. While the concept seems straightforward—adding projection to the lateral pelvis—the anatomy, biomechanics, implant design, and surgical access make them considerably more complex than breast, chin, or calf implants. The main reasons include: 1. There is no natural implant pocket Read More…

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