Category: plastic surgery case study | skull reshaping

Technical Strategies – The Placement of Perfusion Holes in Custom Skull Implants

Custom skull implants have become in my practice an effective and low risk strategy for many aesthetic skull shape concerns. Compared to any other implant used above the shoulders, skull implants are comparatively large which is appropriate given the size of the skull. But a small implant just isn’t going to work for many head Read More…

OR Snapshots – Tail of the Brow Bone Reduction Through An Eyelid Incisional Approach

Brow bone reduction is a well known aesthetic procedure for reducing the horizontal projection of the lower forehead. Done by either burring for minor changes or an osteoplastic bone flap setback technique for more major setbacks, the horizontal position of the brow and/or its convex shape can be reduced. But no matter what brow bone Read More…

Product Review – Mentor Xtra Breast Implants

Silicone breast implants have been back in clinical use for the past decade. While there are various features of these implants, such as the gel composition and the characteristics of the enveloping shell, that get a lot of attention one overlooked feature is that of implant fill. This refers to how much the enveloping shell Read More…

Plastic Surgery Case Report – The Combined Rhinoplasty Lip Lift Procedure

Background: Reshaping of the central part of the face is done by changes to the nose and lips. Whether through a rhinoplasty or various lip augmentations or lifts, the shape of these two midline facial structures have a major influence on one’s appearance whether it is seen from the front or side views. Rhinoplasty and Read More…

The Osteoplastic Bone Flap Technique in Brow Bone Reduction Surgery

Brow bone reduction is done for a variety of reasons in both men and women. While the primary objective is to reduce an overlying prominent brow protrusion, there are differences in why it is done and the technique used to achieve it. In men reduction of the brow bone is done to get rid of Read More…

Plastic Surgery Case Study – A Standard Preformed Skull Implant for Female Crown Augmentation

Background: While skull surgery has been around for more than a century, such surgeries have been done for reconstructive reasons to replace missing portions or correct significant congenital skull shape deformities. Aesthetic skull surgery, however, is much more recent and consists of reducing prominent bony areas or improving its shape through augmentation materials. The use Read More…

Combining Open Rhinoplasty and Subnasal Lip Lift

Patients desiring changes to the nose and reshaping of the upper lip are common. Nose changes are done by a variety of rhinoplasty techniques and lip changes accomplished by augmentations or surgical lifts. One of these uplifting lip procedures is the well known subnasal lip lift. Because it is done by an excision of tissue Read More…

Techniques in Knee Lifts

Many parts of the body suffer sagging or loose skin from the effects of aging and gravity. The tissues above moveable extremity joints (knees and elbows), however, has the added influence of motion across the joint with flexion to an arc of up to 120 degrees. As a result the stretching of the soft tissue Read More…

Techniques in Skull Reduction

The size of one’s head is most significantly influenced by the shape of the skull. While there are soft tissues that also envelope it, its size is a reflection of its overall dimensions and convexity. As a result, major reductions (1 cm or greater) in skull size or specific bony areas is not possible without Read More…

OR Snapshots – Injectable Diced Rib Graft Rhinoplasty

Cartilage grafting to the nose is most commonly done using anatomically convenient graft sites. This usually means the septum which offers straight graft dimensions or the ear which offer curved or shaped grafts. For many traditional rhinoplasty surgeries these graft sites are sufficient both in size and shape. But in rhinoplasties that require larger amounts Read More…