Director, FaceAll Institute – Customized Facial Implants Training FaceAll Institute, São Paulo, Brazil Caçapava, Sao Paulo, Brazil
This session presents a practical approach to managing maxillary hypoplasia in skeletal Class III patients through the integration of customized orthognathic surgery and patient-specific facial implants. Maxillary hypoplasia often results in a concave profile, low midface projection and esthetic dissatisfaction even after conventional bone movements. Using three-dimensional virtual planning, mandibular setback and maxillary repositioning were combined with customized polymethyl methacrylate implants for the zygoma and mandibular angles. The outcome demonstrated restored function, improved projection and promoted stable facial symmetry with high patient satisfaction. The purpose of this session is to show how digital planning and simultaneous implant placement refine esthetic results, increase predictability and offer a reproducible solution for complex dentofacial deformities.
Learning Objectives:
At the conclusion of this presentation, participants should be able to:
Describe the clinical features and esthetic impact of maxillary hypoplasia in skeletal Class III patients.
Explain the role of three-dimensional virtual planning in anticipating residual disharmonies.
Demonstrate how to integrate customized facial implants with orthognathic surgery in a single-stage workflow.
Evaluate the indications, benefits and limitations of custom implants in the zygoma.
Assess postoperative results in terms of function, symmetry and patient satisfaction following combined surgery and implants.
