Custom Facial Implants

Desire for stronger jawline and more defined cheekbone appearance.

Custom jawline and bilateral infraorbital-malar implants.

Desire for much wider jaw angles for increased lower facial width.

Custom jaw angle implants of 15mms width.

Desire for more defined jawline.

Custom jawline implant inserted through a submental incision and bilateral intraoral posterior vestibular incisions.

Desire for more prominent jawline.

Placement of custom jawline implant for more defined jawline appearance.

Desire for jawline reshaping with vertical chin shortening, vertical jaw angle lengthening and a. smooth connection between the two. Had an existing chin implant which was placed too low.

Removal of existing chin implant and replacement with a custom jawline implant.

Desire for more prominent jawline and improvement of full neck shape.

Custom jawine implant combined with submentoplasty.

Desire for vertically longer jawline shape.

Placement of vertical lengthening custom jawline implant.

Desire for feminine appearing chin augmentation requiring both vertical and horizontal augmentation effects.

Placement of custom chin implant for combined small amount of vertical and horizontal chin augmentation.

Desire for more prominent jawline.

Placement of custom jawline implant.

Desire for specific forehead, brow and nose augmentations.

Placement of custom forehead-brow and nasal implants.

Desire for specific midface and nose shape changes.

Placement of custom midface and nose implants

Desire for correction of backward sloping forehead.

Placement of custom forehead implant through small scalp incision.

Desire for more defined square-shaped chin and improved facial definition.

Placement of custom chin implant with buccal lipectomies and perioral liposuction.

Desire for jawline augmentation to change the steep mandibular plane angle shape to his natural jawline shape.

Placement of custom jawline implant for significant vertical jaw angle lengthening and a smooth linear jawline effect.

Desire for correction of lower jaw asymmetry.

Placement of unilateral custom jaw angle implant for correction of lower jaw asymmetry.

Desire for more defined jawline.

Placement of custom jawline implant.

Desire for a prominent lower third of his face.

Design and placement of a custom wrap around jawline implant.

Desire for increased projection of entire midface.

Custom total midface implant placed through an intraoral approach.

Desire for vertical lengthening of entire jawline.

Custom vertical lengthening jawline implant placed through a submental incision. (originally placed in 1997 and still in place today 23 years late!)

Desire to reduce prominence of brow bones.

Placement of custom forehead implant to smooth to forehead and reduce the prominence of the brow bone break.

Desire for improved result from existing malpositioned chin and jaw angle implants.

Custom jawline implant replacement for malpositioned chin and jaw angle implants.

Congenital lower jaw asymmetry with a longer right side and shorter left side.

Jaw asymmetry correction with right inferior border reduction and placement of custom left jawline implant.

Desire for modest jawline augmentation that would bring some angularity and definition to the jawline.

Placement of custom jawline implant.

Desire for replacement of existing chin and jaw angle implants with a stronger jaw augmentation look.

Placement of custom jawline implant as seen one day after surgery.

Desire for overall jaw augmentation after initially having a chin implant.

Replacement of chin implant with custom jawline implant.

Desire for jawline enhancement.

Placement of custom jawline implant.

Lower facial vertical deficiency in middle aged male.

Vertical lengthening custom jawline implant with improved facial proportions, more distinct transition between the face and neck and the elimination of loose jowl and neck skin.

Desire for improved jawline shape and definition.

Placement of custom jawline imlpant.

Desire for an enhanced jawline.

Placement of a custom jawline implant after first trying a Medpor chin implant.

Desire for more defined jawline and better neck shape.

Placement of custom jawline implant with neck liposuction.

Correction of short lower jaw and lack of any facial definition

Custom jawline implant with face and neck defatting

Desire to improve jaw asymmetry where the right lower jaw grew down too low and the left lower jaw was too high.

Lower jaw asymmetry correction with left custom jawline implant and right inferior border shave.

Desire for facial asymmetry correction.

Facial asymmetry correction with custom total jawline and right cheek implants.

Desire for subtotal reversal of prior V line lower jaw surgery.

Custom jawline implant designed to restore some of the lost chin and jawline bone.

Desire to have an improved chin implant augmentation result.

Removal of existing round anatomic chin implant with custom chin implant design.

Desire for more vertical forehead inclination and broader forehead an temporal fullness.

Placement of custom forehead-temporal implant through limited scalp incision.

Desire for correction of jawline asymmetry from the prior placement of standard jaw angle implants.

Remove of standard chin and jaw angle implants with a custom jawline implant.

Desire for a better result from the initial jaw asymmetry surgery as well as an overall jaw augmentation effect.

Placement of a custom jawline implant with removal of existing right jaw angle implant.

Desire to replace a malpositioned chin implant with a total jawline implant.

Removal of existing chin implant and replacement with a custom jawline implant.

Desire for stronger brow bone prominences and a broader and more square forehead.

Endoscopic placement of custom forehead-brow bone implant.

Desire for simultaneous correction of jaw symmetry and a larger more defined jaw shape as well.

Custom jawline implant placement for the dual effect of jaw asymmetry correction and an overall jaw augmentation.

Permanent replacement of injectable fillers for jaw augmentation.

Custom jawline implant for total jaw augmentation.

Small in stature female desire jaw augmentation.

Placement of custom jawline implant design for a female. (petite design)

Desire for a broader forehead appearance with temporal augmentation.

Placement of custom extended temporal implants

Desired a high cheekbone augmentation result.

Placement of custom infraorbital-malar implants through a lower eyelid incision.

Desire for jaw angle augmentation to complete the total jawline effect after a prior chin implant.

Placement of custom jaw angle implants that merged with the existing chin implant to create a total jawline augmentation effect.

Desire for a strong male jawline augmentation result.

Placement of a custom jawline implant.

Desire for correction of congenital right vertical orbital dystopia.

Right vertical orbital dystopia correction with custom implant, lower eyelid reconstruction, right inferior brow bone reduction and upper eyelid ptosis repair....seen first day after surgery.

Desire to create better jaw angles after sagittal split mandibular osteotomies.

Intraoral placement of custom jaw angle implants.

Desire overall jaw augmentation after prior chin implant and sliding genioplasty

Custom jawline implant augmentation to add to what had already been done in the chin and adding the rest of the jawline into the augmentation.

Desire for permanent augmentation of undereye hollows.

Placement of custom infraorbital rim implants.

Desire to improve deep undereye hollows.

Treatment of undereye hollows with custom infraorbital-malar implants

Desire for a stronger and more defined lower third of the face.

Lower jaw augmentation combining opening wedge sliding genioplasty with custom jaw angle implants

Desire to improve his eye asymmetry.

Placement of custom left orbital floor-rim implant with left inferior brow bone reduction, left browlift and lowe eyelid elevation/reconstruction. He needs a final upper eyelid ptosis repair to maximize the result.

Desire for an enhanced power third of the face.

Placement of custom jawline implant.

A perfectly custom chin implant for removal of an asymmetrically placed standard chin implant revealed a residual soft tissue deficiency.

An asymmetrically designed custom chin implant was made to replace the 1st custom chin implant which adequately addressed the right sided soft tissue asymmetry.

Desire for chin augmentation with correction of asymmetry as well.

Submental placement of custom chin implant that had an asymmetric extended jawline implant design.

Desire for a less backward slope to the forehead.

Placement of a custom forehead implant through a central hairline incision.

Desire for greater brow bone prominence/forehead reshaping.

Endoscopic-assisted placement of custom brow bone implant through a triangulated three incisional technique.

Desire for an enhanced lower third of the face by jawline augmentation.

Placement of custom jawline implant.

Desire for improved symmetry of horizontal eye asymmetry. (right vertical orbital dystopia)

Placement of custom periorbital rim implant to help improve the horizontal position of the eyes.

Desire for an improved jawline shape. Has a chin implant placed previously.

Vertical lengthening Removal of existing chin implant and replacement with a sliding genioplasty (8mm down and 5mms forward) with custom jawline implants

Desire for improved facial definition as well as as correction of chin/jaw asymmetry.

Initial placement of custom jawline and infraorbital-malar implants. Followed six months laters with left jawline implant repositioning and buccal lipectomies and perioral liposuction.

Desire for an improved lower jaw and chin shape. had tried injectable fillers but it did not give the desired result.

Placement of custom wrap around jawline implant.

Desire for jaw augmentation with an enphasis on the need for vertical lengthening of the jawline.

Placement of a custom vertical lengthening jawline implant with a soft tissue necklifting effect.

Desire for improvement of jawline shape from standard chin and jaw angle implants.

Removal of chin and jaw angle implants with custom jawline implant replacement.

Desire for more masculine defined jawline.

Placement of custom jawline implant.

Desire for a high cheekbone look.

Placement of custom infraorbital-malar implants through lower eyelid incisions.

Desire for correction of deep temporal hollowing in a thin female.

Placement of custom temporal implants through small temporal hairline incisions.

Desire for temporal and midface augmentation due to facial lipoatrophy.

Placement of custom extended temporal-forehead implants through a postauricular approach and custom midface implants through a combined intraoral and lower eyelid incisional approaches.

Desire for forehead and brow bone augmentation.

Placement of combined custom forehead and brow bone implant.

Desire to augment the flat bones around his eyes so they look less recessed.

Complete periorbital augmentation with custom brow bone and infraorbital-malar implants.

Desire for improved left facial asymmetry due ti hemifacial microsomia. Has previously undergone double jaw surgery.

Placement of custom left cheek and jaw implants through intraoral incisions.

Desire for better forehead shape. Initially thought his brow bones stuck out too far but that only appeared that way because the forehead above the brow bones was deficient.

Placement of custom forehead implant through small scalp incision.

Desire to have a more masculine forehead shape.

Design and placement of a custom forehead-brow bone implant through a small scalp incision.

Desire for an improved jawline (had a prior sliding genioplasty) and increased midface projection.

Placement of custom midface and jawline implants. (3 years postop)

Desire to have modest augmentations of his weaker cheeks and jawline. (facial masculinization)

Placement of custom infraorbital-malar (IOM) and jawline implants.

Desire for improved jawline with short and long chin with high jaw angles.

Total jaw augmentation with combined sliding genioplasty (12mms forward and 4mm shortening) with custom extended jaw angle implants that blended into the advanced bony chin.

In some small jaw male patients the primary problem is as much a need for vertical lengthening as opposed to horizontal or width expansion. Only a custom jawline implant can provide a complete 3D jaw augmentation effect.

Placement of large custom jawline implant. (5 years after surgery)

Desire for a combined undereye and high cheekbone look of a modest/natural size.

Design and placement of custom infraorbital-malar implants through limited lower eyelid incisions.

Desire for an improved jaw augmentation despite having had two prior chin implants.

Custom jawline implant replacement with removal of two indwelling chin implants.

Desire for complete midface augmentation from infraorbital-malar high to premaxillary-paranasal low.

Placement of complete midface augmentation with a split implant technique with the high portion placed through the lower eyelid and the low portion placed intraorally.

Desire for correction of upper forehead slope back onto the top of the skull.

Placement of custom upper forehead implant placed through a posterior scalp incision. His 3 month result shows a well healed scalp scar and a straighter upper forehead shape.

Desire for a less backward angulated forehead.

Placement of thin (2.5mm thick) custom forehead implant through a frontal hairline incision.

Desire for a better jawline shape both horizontally as well as vertically.

Placement of a large custom jawline implant (22ccs) for a substantial lower facial augmentation change. (5 year result)

Desire for a more defined jawline and a less round face. Had a square chin implant previously placed with only modest facial reshaping benefits.

A custom jawline implant replacement was done for a standard square chin implant with a more square chin and partial facial derounding effect.

Desire for a more prominent and defined jawline.

Placement of a custom square chin jawline implant.

Desire for correction of congenital facial asymmetry with primary focus on the lower jaw.

Placement of custom jawline and infraorbital malar implants for improvement of facial asymmetry.

Desire for upper facial masculinization.

Placement of custom forehead-brow bone implant.

Desire for additional chin augmentation effect after a vertical lengthening bony genioplasty of 12mms.

Placement of an extended custom chin implant through a submental incision.

Male with narrow lower face desiring jaw augmentation.

Placement of a custom jawline implant. (2 year result)

Desire for correction of undereye hollows and pseudoproptotic eye appearance.

Placement of large custom infraorbital-malar implants placed through lower eyelid incisions.

Female who desired a more vertical slope to her forehead.

Placement of a custom forehead implant through a small scalp incision to make her forehead more vertical but without widening it excessively.

Desire to improve the results of her 1st custom brow bone implant with reduced central implant projection and more augmentation down into the radix of the nose.

Custom brow bone implant replacement with intraop view of brom bone augmentation profile changes.

Desire ti improve the entire jawline which a prior standard chin implant could not.

Removal of existing chin implant with a custom jawline implant. The lesson here is that when dimensional changes are needed that standard implants can not do one needs a custom implant design. Don't try and make an implant do what it is not designed to do.

Female desiring a more vertical inclination to her forehead.

Custom forehead implant placement throughs a small retro hairline scalp incision. Notice that with such a inclination change to the forehead profile the distance between her eyebrows and the frontal hairline increased.

Desire for an enhanced brow bone appearance.

Placement of custom brow bone implant through small scalp and upper eyelid incisions with screw fixation.

Desire for forehead-brow bone augmentation after pervious small forehead implant (placed in S. Korea) failed to have much of an effect

Replacement of small thin forehead implant (implant volume 11ccs) with a custom forehead-brow bone implant. (implant volume 143ccs)

Older female with a congenitally short lower jaw that always wanted a better jawline. Has an indwelling chin implant.

Long term 5 year outcome from placement of a custom jawline implant.

Desire for a more masculine appearing upper third of the face.

Custom forehead-brow bone implant placed through a small scalp incision.

Desire for a stronger jawline. Is getting Radiesse injections to the jaw angles.

Placement of a strong custom jawline implant design.

Desire to augment the radix of the nose which became lower after brow bone augmentation by a custom brow bone implant.

Design and placement of a custom nasal implant through an open rhinoplasty approach.

Female who desired a wider forehead and side of the head. Had a previous frontal hairline brow lift.

Placement of a two piece custom forehead-temporal implant through her existing frontal hairline scar.

Male who desired a modest jawline augmentation.

Placement of a custom jawline implant.

Desier for a more defined chin and jawline. Also had some lower jaw asymmetry.

Placement of a vertically lengthening custom jawline implant. Notice the improvement in the shape of the neck with recruitment of the loose neck tissues onto the expanded jawline.

Desire to improve her facial shape after the placement of standard chin, jaw angle and cheek implants which made her face look too masculine and harsh.

Replacement of standard implants with custom jawline and cheek implants for facial feminization effect.

Desire to improve the shape of the jawline after previous standard chin and jaw angle implants where placed. As well as to improve the right masseteric muscle dehiscence that developed as a result of that surgery.

1st Stage Removal of standard chin and jaw angle implants with custom jawline implant replacement. 2nd Stage Right masseteric muscle dehiscence treated with Alloderm graft and soft tissue jaw angle implant.

Desire for correction of left forehead asymmetry.

Placement of a left custom forehead implant through a small scalp incision.

Desire for enhanced forehead and brow bone projection.

Placement of custom forehead-brow bone implant through a limited scalp incision well behind the hairline.

Desire for a more prominent and square shaped chin.

Placement of custom square chin implant with buccal lipectomies.

Desire for forehead augmentation years after a back of the head implant augmentation for a more complete change in skull length/shape.

Placement of a 7mm custom forehead implant for a decrease in the slope of the forehead and increased skull length.

Desire for an increased augmentation effect from standard large submalar cheek implants.

Intraoral placement of large custom submalar cheek implants of 8cc volume on each side.

Desire for improvement of his entire jawline over what had been gained from a previous chin implant.

Chin implant removal with custom jawline implants replacement.

Desire for chin implant augmentation for correction of asymmetry, a combined horizontal-vertical augmentation and a more square chin shape.

Submentalm placement of custom chin implant with buccal lipectomies.

Desire for a total jawline augmentation after an unsatisfactory chin implant augmentation procedure.

Intraoral removal of chin implant and custom jawline implant replacement.

Desire to replace a standard chin implant that made the chin too vertically long with too much horizontal projection.

Chin implant replacement with a custom implant design that eliminated any vertical and horizontal augmentation and only added width to the chin. Hence its unique design.

Desire to restore vertical chin height lost in an accident which required bilateralism TMJ replacements.

Submental placement of custom vertlcal lengthening chin implant.

Desire for a stronger and more defined jaw augmentation. result that was not obtained with standard chin and jaw angle implants.

Custom jawline implant replacement for standard chin and jaw angle implants.

Desire for augmentation of the lower third of his face (subtle and natural) after having a chin implant with little positive change.

Removal of existing chin implant with placement of a custom jawline implant that vertically lengthened the chin. Also had upper lip lateral vermilion advancements to reshape the upper lip at saw time. (one day postop)

Desire for forehead and brow bone augmentation.

Placement of custom forehead-brow bone implant through a small scalp incision aided by endoscopic visualization.

Desire for a V shaped chin implant result. Three prior chin implants failed to do so.

Custom V-shaped triangular chin implant with inferior flanges for microscrew fixation.

Desire for a stronger more square chin after a prior chin implant procedure.

Custom square chin implant replacement for a standard chin implant placed through a submental incision.

Desire for correction of an over done V line surgery with too narrow of a face and a steep mandibular plane angle.

Placement of a custom jawline implant for subtotal V line surgery correction.

Desire for overlying facial enhancements after double jaw and bony geniopasty surgery.

Placement of custom IOm and jawline implants, bilateral buccal lipectomies and uvulectomy.

Desire for forehead masculinization.

Placement of custom forehead-brow bone implant through a limited scalp incision.

Patient with flat mandibular plane angle jaw shape who desired a natural jaw augmentation result.

Placement of modest custom jawline implant with 6mms chin projection and 7mm jaw angle widths...keeping hips natural jaw shape.

Desire fort replacement of chin implant with a total jawline implant.

Removal of existing chin implant and replacement with a 20cc custom jawline implant.

Desire for forehead masculinization. (less backward forehead slope and more prominent brow bones)

Placement of custom forehead-brow bone implant.

Female with backward sloped forehead who desired a rounder more vertical shaped forehead.

Placement of custom forehead-skull implant for slope correction.

Desire for correction of upper midface hollowness after large bimaxillary advancement surgery.

Placement of custom infraorbital-malar implants through lower eyelid incisions.

Female with vertically small lower jaw desired a more defined lower third of her face. Prior history of a chin implant.

Removal of chin implant and replacement with a vertically lengthening custom jawline implant.

Desire for a more effective jaw augmentation after having an initial chin implant. Middle aged male with thick tissues and some facial soft tissue laxity.

Removal of chin implant and replacement with custom jawline implant.

Female with prior chin implants which left her chin too wide. She was happy with the horizontal projection just not the chin width.

A custom chin implant was designed with the same projection but with a much more pronounced tapered chin shape and no lateral extensions. (wings) The implant exchange was done through her existing submental skin scar.

Square custom chin implant perfectly placed and conformed by postop 3D CT scan with left-sided chin asymmetry.

Correction of left chin asymmetry with a 2mm overlay from an existing square chin implant design, placed through the existing submental incision/scar.

Desire to improve a prior chin implant result that was asymmetric and not more square shaped which was placed intraorally without screw fixation.

Style 1 square chin implant removed and replaced with a custom square chin implant shape through a submental approach.

Desire to improve irregular asymmetric jawline after double jaw surgery with sliding genioplasty.

A thin custom jawline implant was designed to cover the entire jawline to make it smooth and even.

Desiree for improved facial proportions and shape.

Custom cheek and jawline implants with cheek and submental lipectomies

Desire for restoration of lower jaw after poorly performed V line surgery.

Custom jawline implant design and placement for jaw shape restoration.

Desire for a jaw augmentation effect that standard chin and jaw angle implants could not achieve.

Replacement of standard chin and jaw angle implants with a custom jawline implant.

Male with pseudo brow bone hypertrophy due to a backwardly sloped forehead. (high forehead inclination angle)

Placement of extended custom forehead implant. The change in the forehead inclination angle seen in surgery was maintained when seen in longer term followup.

Desire for strong lower jaw augmentation result.

Lower jaw augmentation with a combined sliding genioplasty and custom jawline implant.

Desire for strong jaw augmentation.

Placement of custom jawline implant.

Desire for correction of congenital right brow bone asymmetry.

Placement of custom right brow bone implant through an upper eyelid incision.

Desire to improve the bump-like appearance by the side of his eye/cheeks from custom PEEK infraorbital-cheek implants placed at the time of double jaw surgery.

From the design/shape of the initial PEEK implants to could be predicted that they would have an unnatural appearance as such implants need to have a design that saddles the infraorbital rim with a less pronounced cheek curve. New custom silicone infraorbital-malar implants with an improved design were done.

Desier for corection of negative orbital vectorand dry eyes due to lid retraction. (pseudo exophthalmos)

Placement of custom infraorbital-malar implants with lower eyelid spacer grafts. (Alloderm)