Facial Implant Cosmetic Augmentation Using Digital Technologies

  • Alex M. Greenberg
  • Barry Eppley


Facial beauty has been studied since ancient times and has been recorded in various art forms, whether as classical sculpture, modern art, or scientific analysis. Surgeons who perform facial cosmetic procedures need to have an understanding of both visual and radiographic images that can help them to properly evaluate and diagnose patient’s facial form to allow the development of a treatment plan that will provide the appropriate cosmetic result that will be satisfactory to the patient. Facial beauty is objective to the surgeon and objective to the patient, and there needs to be a high level of communication and understanding in the relationship to ensure a satisfactory outcome. Facial implants are an important aspect of facial cosmetic and reconstructive surgery, and they are available as both stock and custom types. This chapter will review various methods for the fabrication of custom facial implants based on stereolithographic anatomic models for the chin, mandibular angles, and zygomas. Custom facial implants have many advantages over stock implants in that they are preplanned, are patient specific, usually require no further shaping, reduce operating time, and can have superior cosmetic outcomes when compared to stock implants. Different materials can be utilized, but solid silicone has many advantages which includes flexibility for placement into the surgical site, improved feathering of edges, decreased cost, low rate of infection, and durability. Custom facial implants can be used as individual, in combinations, and simultaneous to other procedures such as orthognathic surgery or facial esthetic soft tissue procedures.


3-D modeling Stereolithographic Custom Implant Silicone Chin Angle Zygomatic Augmentation Facial Esthetics Cosmetic 


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© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Division of Oral and Maxillofacial SurgeryColumbia University College of Dental MedicineNew YorkUSA

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