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TOTAL FACE IMPLANTS

Cheek/Eye

Cheek asymmetries and the inadequate primary cheek implant results create the main reasons for the fabrication of custom cheek implants. Implant designs that encompass more of the surrounding areas such as the upper maxilla, zygomatic arch and extensions over onto the lower orbital rim are benefits of a custom cheek implant approach. Bigger cheek implants may be desired but this usually means broader surface area bone coverage and not necessarily thicker than performed styles. The use of the term ‘custom cheek imantf’ is reserved those custom implants that have a significant cheek augmentation and are placed through an intraoral approach.

Custom cheek implant design to create the high cheekbone model look with posterior arch extension.

Custom cheek implant design for high cheekbone look with small infraorbital extension and custom jawline implant for male facial masculinization effect.

Custom cheek implant design for high cheekbone look with small infraorbital extension and custom jawline implant for male facial masculinization effect.

Female custom cheek implant design to create anterior malar projection which blends into the maxilla.

Male custom cheek implant design for high cheekbone line of augmentation.

Small anterior custom cheek implant design with arch extension combined with a custom jawline implant.

Custom anterior malar cheek implant design with removable maxillary extensions to aid intraoperative positioning.

Strong custom cheek and jawline implant for a male facial masculinizing effect.

Custom cheek and jawline implant designs to provide more visible facial skeletal features in a male.

Custom right cheek and jawline implant to improve facial asymmetry.

Custom cheek implants in a male to replace and provide a better cheek augmentation effect than the injectable fillers that were currently present.

Custom Infraorbital Malar Implants

The custom infraorbital-malar implant is an evolution from the standard cheek implant. Based on the natural anatomy of the cheekbone (zygomatico-maxillary-orbital complex), it augments the natural shape of the cheek which is also part of the lower eye. It provides extensions along the infraorbital rim anteriorly and the zygomatic arch posteriorly. This provides a more complete  midface effect that allows a high cheekbone look while raising the infraorbital rim and making the tail of the cheekbone (zygomatic arch) more prominent. Low positioned infraorbital rims affect the position of the lower eyelid. Raising the infraorbital rim helps raise up the lower eyelid making itmore level which helps eliminate scleral show a rounded lower eyelid appearance.

Custom infraorbital-malar implants for the male model look in a lean male face.

Custom extended infraorbital-malar implants with maxillary extensions.

Custom infraorbital-malar implants to fill out the upper mod face after a LeFort I osteotomy.

Custom infraorbital-malar-subalar implants for full cheek effect with blending into the infraorbital rims.

Extended custom infraorbital-malar implants with long zygomatic arch extension.

A common use of the custom infraorbital-malar implant which is combined with a custom jawline implant for a male facial masculinization effect.

Custom infraorbital-malar implant with maxillary tab extension com-bined with a custom jawline implant for augmenting the male face.

Custom infraorbital-malar implants combined with custom brow bone and temporal implants.

Custom infraorbital-malar implants combined with custom jaw angle implants after orthognathic surgery.

Custom infraorbital-malar implants combined with custom cleft chin and jaw angle implants.

Custom infraorbital-malar cup implants with custom jawline implants.

Custom infraorbital-malar implants that raise up the lower eyelids to a more horizontal position combined with a custom jawline implant.

Custom Orbital Implants

Custom orbital implants are used to augment or correct deficiencies of the orbital rims and orbital floor. Providing precise augmentation to the delicate contours of the orbital rims and infraorbital volume are good indications for a custom implant approach using the patine’s 3D CT scan. Tear troughs and undereye hollows due to infraorbital bone recession are common aesthetic indications for their use. Reconstructive indications are orbital rim asymmetries, infraorbital rim-orbital floor asymmetries due to vertical orbital dystopia and correction of depressed infraorbital rim-floor from from prior orbito-zygomatic (ZMC) fractures.

Custom infraorbital rim implants for undereye hollows combined with a custom jawline implant in a male.

Custom right periorbital implant for orbital asymmetry after multiple prior reconstructive efforts.

Right vertical orbital dystopia of 3mms correction with custom orbital rim-floor implant.

Bilateral custom cheek implants with right orbital rim-floor extension for orbital asymmetry correction.

Custom infraorbital-anterior malar implants for correction of a negative orbital vector.

Custom brow bone implants combined with custom inferolateral orbital rim implants for a new circumferential orbital rim augmentation effect.

Custom lateral infraorbital rim implants for congenital lateral infraorbital rim defects.