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Reshaping the Round Face – Implant and Soft Tissue Reduction Strategies

For a round face, the goal is to shift from a circular, width-dominant shape to something more vertically defined and angular. With custom implants, you’re adding structure—but in round faces, soft tissue thickness is often the limiting factor, so reduction plays a bigger role than usual. Here’s how to think about the best combinations: Core Read More…

Custom Facial Implants – Mechanisms of Intraoperative Misplacement

There are two factors that determine the success of custom facial implants, the implant design and its intraoperative placement. The implant design is assured, as it is seen and chosen before surgery, but placing the implant(s) exactly how it is designed is not. Such implants can end up a few millimeters off or more from Read More…

What is Aesthetic Skull Reshaping Surgery

  Every day I get inquiries from patients requesting ‘skull reshaping surgery’ without any further specifications or details of their head shape concerns, not recognizing the scope of the general term. A detailed description of what encompasses skull reshaping surgery is described. What is Aesthetic Skull Reshaping Surgery Aesthetic skull reshaping surgery—often called cranial contouring Read More…

Custom Facial Implants – Techniques in Intraoperative Placement

Some surgeons falsely allege and some patients erroneously assume that a custom facial implant just snaps into place because of its design with an underlying shape that mimics the surface anatomy of the bone on which is placed.  There is also the mistaken belief that certain implant materials (aka PEEK) are better because of this Read More…

Custom Jawline Implant Removal Outcomes

Custom jawline implants create  one the most powerful augmentation changes of the face. Their wraparound surface area coverage of the entire inferolateral border of the  lower jaw can cerate a dramatic contour change between the face and the neck. But despite these potential benefits not every jawline implant patient is satisfied with and may consider Read More…

Jawline Implant Removal: Frequently Asked Questions

Considering jawline implant removal here is what you need to know. Will my face go back to normal after jawline implant removal? Not completely. While your face will return closer to its natural shape, the tissues and bone have adapted to the implant. Most patients notice a slight loss of jawline definition and a softer Read More…

Direct Browlift in Vertical Orbital Dystopia Case Example

A direct browlift is a brow-lifting operation in which skin is removed just above the eyebrow, and the brow is elevated by closing that excision. It is mainly used to treat brow ptosis, especially when the droop affects the upper visual field or creates significant asymmetry. Compared with endoscopic or coronal brow lifts, the direct Read More…

Custom Facial Implants and Patient Age – Guidelines for Surgery

Patient age matters with custom facial implants, but not because there is one magic cutoff. The real issue is whether facial skeletal growth is essentially complete and whether the patient has the maturity and expectations for a permanent implant procedure. Teens in particualar  should meet milestones in growth and physical maturity before plastic surgery, and Read More…

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