Sometimes, all you need is a little symmetry and vertical lengthening.
In facial aesthetic surgery, the most demanding results are often achieved through the smallest adjustments. Gross deformities are straightforward to identify and correct. However, refining a face that is already objectively handsome—elevating it from a solid 8 to a definitive 10+ requires a level of precision that stock implants simply cannot provide.
When this patient in his early 30s contacted us, we knew we had our hands full. We knew this was not going to be an easy task.
He was, of course, a good looking man. To the untrained or non-demanding eye, he looked great. But to those of us who constantly study beauty—who analyze proportion, shadow, and contour—we recognized the untapped potential.
Our mission was twofold:
- Correct subtle asymmetry.
- Introduce the right amount of vertical lengthening to the lower face.
The tool for this mission? Custom PEEK DMI Implants.
The Challenge: The Risk of the “Boxy” Jawline
When discussing vertical lengthening of the mandible, most surgeons focus solely on adding height. But adding indiscriminate height is a trap.
The risk: Creating a jawline that appears “boxy,” heavy, or overly masculine.
For this young professional, a boxy look was not the goal. He did not want to look like a bloated bodybuilder. He wanted to look like the best version of himself—sharper, stronger, but still natural and balanced. This required strict management of vertical height and meticulous control over implant width.
Why Custom PEEK? The Material Matters
We selected Custom DMI PEEK (Polyether Ether Ketone) implants for this case. Unlike silicone or even standard PEEK, DMI PEEK offers distinct advantages for high-definition jaw contouring:
- Titanium-Ready Fixation: PEEK allows for screw fixation directly to the bone, ensuring zero migration or rotation over time. This is non-negotiable when correcting asymmetry.
- Identical Stiffness to Bone: DMI PEEK mimics the modulus of elasticity of cortical bone. It feels natural and integrates beautifully with the native skeleton.
The Surgical Plan: Symmetry First, Height Second
1. Addressing Asymmetry
The patient presented with noticeable mandibular asymmetry that photos often minimized but was obvious in 3D rotation. A standard “off-the-shelf” implant would have merely padded the asymmetry, potentially making it worse.
Our Solution: We designed bilateral custom PEEK implants that differed in thickness and extension on each side. This brought his lower face into perfect horizontal alignment without the need for osteotomies.
2. Controlled Vertical Lengthening
This was the crux of the case. We needed to increase the vertical height of the lower face to improve proportions, but we needed to manage the transition zone at the gonial angle.
Our Solution: We extended the implant along the posterior ramus, creating a smooth “wraparound” effect. This lengthened the jaw visually without creating a sharp, square corner. The result is a jawline that appears naturally developed, not “implanted.”
The Result: The Pinnacle of Custom Aesthetics
The results speak for themselves.
We successfully elevated a great face into the exceptional range. The patient now enjoys:
- Perfect mandibular symmetry visible from every angle.
- Ideal vertical height that balances his midface and lower face.
- A natural, masculine contour free from the stigmata of surgery.
This case exemplifies our surgical philosophy: Custom is not just about fit; it is about finesse.
Is a Custom PEEK Jaw Implant Right for You?
If you are a man in your 20s to 40s looking to:
- Correct congenital or post-traumatic jaw asymmetry
- Achieve vertical lengthening without a “boxy” look
- Upgrade from a stock silicone implant that has shifted or looks unnatural
- Move from “good” to “great” aesthetics
A custom PEEK jaw implant is the gold standard.
If the pinnacle of custom implant aesthetics is your objective, contact us today for a free consultation.
