How common are loose screws in Omnipore Gonial Implants?

Definition requires structure; and bone/implant material is structure. Fat is an overlay and creates 'fullness' not definition. Go with implants.

Once it has been determined that facial implants are the way to resolve your concerns, Custom Implants are the best way to ensure you get the closest to the look you expect to have. Please learn the differences between standard and custom implants. Best,

Without seeing radiogrsphic images, ceph, pan, or CBCT and with only the lateral photo you submitted it is difficult to give you a good recommendation. You said your bite/occlusion was good. If that’s the case submalar or zygomatoc implants would be a good choice. If you feel your nose would n...

Many materials can be used and each has its benefits. Part of the decision is the experience of the surgeon with the materials. Ideal material is Gortex/like which integrates with the tissue and can be carved to fit; silastic is typically 'standard sizes' but custom/$ ones can be made. Metal is...

In my opinion, I think that fillers would be the best option for you. I think that you need more volume and placing additional volume through an implant might be risky.

Jaw implants and bone grafts can be used to adjust the angle of the mandible to correct asymmetry and improve the jaw line after orthognathic surgery.  However without a physical exam it is difficult to say definitively if augmenting the jaw will correct the specific deficiency that you are...