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The Bulbous Nose Rhinoplasty

The nose can have a wide variety of shapes due to its complex interdigitating anatomy. The nasal bones, septum, upper and lateral alar cartilages create a diverse group of external nasal shapes. Where the greatest variability in anatomic shapes exists is in the nasal tip where the confluence of the lower alar cartilages and septum Read More…

The Intraoral Dynamic Cheek Dimpleplasty – Technique and Outcomes

Dimples are well recognized indentations in the midface which can occur either on just one cheek or both. They are known to have a familial predisposition and are passed along on a dominant genetic basis. It has been isolated to the 16th chromosome although its expression is inconsistent. Anatomically it is caused primarily by a Read More…

The Use of The Ogee Curve In Custom Cheek Implants Design

The Ogee curve is a well known aesthetic concept that is frequently applied in volumetric cheek augmentation. The cheek is a rather ambiguous facial area that defies specific linear dimensions that are typically used in facial areas such as the chin. In the front and side views the impact of the cheek is hard to Read More…

Bone Cements in Aesthetic Face and Skull Augmentations

Augmenting facial and skull bones can be done by a variety of alloplastic materials. These biomaterials separate into two basic categories, preformed implants (e.g., solid silicone, Medpor, ePTFE) and bone cements. For both the face and the skull the vast majority of aesthetic augmentations are done by preformed implants whose value has become enhanced by Read More…

Plastic Surgery Case Study – The Vertical Lengthening Custom Jawline Implant

Background: Proportions are one measurable assessment of facial attractiveness and are an important preoperative assessment in aesthetic facial reshaping surgery. One proportionate assessment is that of the facial thirds, specifically that of the horizontal thirds. Measured by upper third (hairline to glabella), middle third (glabella to subnasale) and lower third (subnasale to menton), these should Read More…

The Surgical Technique for Mastoid Process Skull Reduction

The skull has many normal raised areas particularly around its lower base. One of these is the mastoid process which is located behind the ear. The derivation of the mastoid name comes from the Greek word for breast with refers to its shape. This conical bony process is on the lower end of the temporal Read More…

The Postauricular Approach for Temporal Implant Placement

Temporal implants provide a permanent augmentation to the entire side of the head. Standard temporal implants initially were developed to treat the more common and limited anterior hollowing that occurs by the side of the eye all the way up to the temporal line of the forehead in the non-hairbearing skin. Custom temporal implants were Read More…

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