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Custom Facial Implants – Visible vs Palpable Malpositions

Malpositions of custom facial implants can be visible externally or can only be palpable. This is a really useful way to think about it, because not every “miss” actually shows—and some that are barely measurable can be surprisingly visible. I’ll break it down by visible vs. palpable vs. both, then give you the patterns by region. Quick Read More…

Surgical Techniques to Safely Remove Medpor Facial Implants

Safe removal of Medpor implants is really about controlled dissection, preservation of vital structures, and managing the consequences of tissue ingrowth. Surgeons approach it more like a reconstructive exposure procedure than a simple explant. Here are the key techniques: 1. Meticulous Layer-by-Layer Sharp Dissection Primary principle: never “pull”—always cut the ingrowth Use: Fine scissors Scalpel (often #15 blade) Needle-tip cautery Read More…

When Adding an Implant Improves the Outcome of a Facelift

Does adding an implant (standard or cusom) actually improve the aesthetic outcome over just a facelift alone?” Short answer: sometimes yes—but only when there’s a structural deficiency to fix. Otherwise, it can add complexity without meaningful benefit. Here’s the practical way to think about it: When an implant does improve the facelift result A facelift Read More…

Penile Frenulectomy – Surgical Technique and Benefits

A penile frenulectomy is a minor surgical procedure that involves cutting or removing the frenulum—the small band of tissue on the underside of the penis that connects the glans (head) to the shaft. The procedure Can be done under local anesthesia (numbing injection) The frenulum is either released (frenulotomy) or removed (frenulectomy) The area may Read More…

Secondary Dorsal Implant After Inadequate Rib Graft Augmentation Rhinoplasty

Nasal dorsal augmentation involves increasing the height and/or improving the contour of the nasal bridge (dorsum). It is a common component of rhinoplasty, particularly in patients with a low or flat nasal bridge or an irregular dorsal contour. Common Indications Low nasal bridge (common in many Asian, African, or revision rhinoplasty patients) Saddle nose deformity Read More…

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…

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