Hollow cheeks, Chiseled jawline, reshape face? Difference between custom and normal implants? (photos))

I prefer to use custom implants for the mandibular angle and other unique deformities of the head and face (deformities secondary to trauma, congenital, or pathologic). The silicone implants that are available for cheeks and chins and temporal regions come in a variety of shapes and sizes and can be customized at the time of surgery. The cost is significantly increased with custom implants. Most surgeons use the implants that are available and re-shape them as needed during surgery. This allows us to create unique and individual implants without the added expense. 

Custom vs. normal cheek implants. You don’t need custom implants. Regular cheek implants can be trimmed for an unusual problem. The most important part is seeing a very experienced cheek implant surgeon who does natural results. 

You don't necessarily need implants to achieve your desired results. Facial sculpting with strategically placed fillers, Sculptra, PRP, fat grafting and neuromodulators (Botox, Dysport, Xeomin) can help you shape and contour the jawline, chin, and cheeks. Surgical implants can give you more dramatic improvements.Even more important than the method used is the sculptor behind the procedure. Technique is key to ensure that you achieve the desired results -- and that those results are natural-looking. I recommend getting a formal evaluation with a cosmetic dermatologist and facial sculpting expert; our office is located right here in Beverly Hills. Best, Dr. Emer

One does not need manufactured custom implants but every implant should be recontoured at the time of surgery to ensure the agreed upon appearance you seek is appropriate. In other words one cannot rely upon standard sizes for a corrected contour since the soft tissue varies on thickness, the bone contour varies side to side and the balance with the rest of the face has to be considered.