Customizing jawlines: the art of alloplastic premandible contouring

Male patients are demanding alloplastic facial augmentation with a frequency that is increasing annually. Traditional methods of using small central chin implants and oval malar implants have proven inadequate. A new generation of malar shell and premandible implants has been designed; they produce dramatic and effective contour alterations in the midface and lower third chin-mandible facial aesthetic units. Principles of zonal anatomy and facial typing derived from facial architecture can facilitate great accuracy and precision of surgical execution. The special needs of the male patient must be addressed to create doctor and patient satisfaction.