Evolving Clinical Experiences in Aesthetic Hip Implant Body Contouring.

Background: Hip augmentation increases the hip width utilizing fat transfer and/or subcutaneous implants, creating a more feminine hourglass shape. Custom hip implant surgery requires proper patient selection, correct body frame analysis, appreciation of hip aesthetics, understanding surgical anatomy, optimal aesthetic planning, a favorable implant design and fabrication, skilled surgical implant placement, diligent postoperative patient care, and proper complication management.

Objectives: The authors sought to evaluate the pioneering clinical experience with cosmetic custom hip silastic implants.

Chin Reshaping in Profileplasty: Augmentative and Reductive Strategies.

After studying this article, the reader should be able to understand how various implants, osteotomies, and reductive tissue techniques affect the aesthetic outcomes of chin reshaping surgery. The roles of standard versus custom chin implants, the operative steps and indications for a bony genioplasty and the techniques for chin reduction are described with emphasis on proper patient selection and avoiding their common complications.

Forehead/Brow Reduction or Augmentation with Custom Implants for Enhanced Facial Profileplasty.

After studying this article, the reader should be able to understand the basic concepts of aesthetic reshaping of the forehead and the different methods to make those upper facial contour changes. The operative techniques for bony forehead and brow bone reduction and biomaterials for forehead and brow bone augmentation are described. Innovations in bony reduction and implant augmentation methods are emphasized.

Mandibular Angle Implants.

After studying this article, the reader should be able to understand the two basic types of implants for aesthetic augmentation of the jaw angles and the aesthetic goals in using them. The operative steps for surgical placement are described with emphasis on avoiding the common complications of jaw angle implants. The indications for the use of standard versus custom jaw angle implants are also described.

Postoperative Care in Facial Implants.

Facial augmentation is a growing field, secondary to the appreciation of the changes seen in the facial skeleton with aging and the growing acceptance/popularity of facial fat grafting and facial fillers. In addition, it plays a significant role in patients with congenital facial deficiencies as well as those interested in facial feminization/masculinization surgery. Several facial implants are discussed in this article including classic facial implants such as malar, submalar, chin, and prejowl implants as well as newer facial implants such as mandible, temporal, forehead, and skull implants.