Category: rhinoplasty

Dorsal Line Modifications in Rhinoplasty

The shape of the nose is as varied amongst people as the weather is on any one day around the world. While not quite as distinct as a fingerprint, one’s nose shape is fairly unique in each individual. But despite this tremendous diversity in appearance, there are certain nasal shapes that many patients strive to Read More…

Technical Strategies – Mapping Multilevel Temporal Artery Ligations

The superficial temporal artery (STA) is a branch of the facial artery that crosses in front of the ear and heads northward into the scalp. At a fairly predictable point above the ear it turns into a Y configuration with an anterior branches coursing across the forehead at it turns up into the scalp. It Read More…

Technical Strategies – Submental Chin Reduction for Chin Pad Prominence Reduction

Unlike chin augmentation, chin reduction surgery is performed far less commonly. As a result, it is not a well understood procedure in terms of proper diagnosis and technique. While chin reduction is often perceived as an intraoral bony burring procedure, this is a very limited procedure that is rarely effective and often leads to postoperative Read More…

The Appearance of Scalp Scars from Custom Skull Implants

Custom skull implants have become a standard technique in my plastic surgery practice for making many aesthetic skull shape changes. Prior to their use, while skull reshaping surgery was possible, it involved the use of much longer scalp incisions and the use of intraoperatively fashioned biomaterials that had a much higher rate of contour issues Read More…

Plastic Surgery Case Study – Vertical Heightening Custom Infraorbital Rim Implants

Background: Aesthetic deficiencies of the lower eye/eyelid have a variety of presentations. Dark circles, teat tear troughing, negative vectors and a flat midface describe some of the common terms used to describe the external appearance of a skeletal deficiency of the infraorbital rim or lower eye bone. As a companion to the supraorbital rim or Read More…

Technical Strategies – Custom Skull Implants with Frontal Hairline Design

Skull implants are a versatile treatment strategy for a variety of head augmentation concerns. Made from the patient’s 3D CT scan they can be designed to provide increases in skull projection that are only limited by the stretch of one’s scalp. One of the not uncommon indications for custom skull implants is to increase the Read More…

OR Snapshots – Testicle Implant Replacement with Ultrasoft Silicone Testicle Implant

Testicle implants have been used for decades in various forms. It is the only known surgical method to replace the lost volume and shape occupied by a natural testicle. Originally they were composed of solid silicone but that material was removed from commercial availability as a result of the silicone breast implant issues in the Read More…

Plastic Surgery Case Study – Transgender Tracheal Shave Based on Head Extension

Background: The prominence of the Adam’s apple (hyroid cartilage) in the neck is a distinct gender-associated feature. In males, just like the brow bones, it is more protrusive than females due to the growth influence of testosterone on its cartilaginous development. This is why in facial feminization surgery, particularly in the male to female transgender Read More…

Long-Term Results in Calf Implants

Calf augmentation is most commonly done with implants. There are a variety of reasons patients pursue augmenting the gastrocnemius muscle from congenitally thin legs, muscle atrophy due to disease or trauma and the desire for larger calfs that exercise and effort alone can not easily achieve. While injection fat grafting is another option for larger Read More…

Plastic Surgery Case Study – Posterior Temporal Reduction for the Wide Head

Background: The side of the head is an often overlooked aesthetic area whose shape can really only be appreciated in the frontal view. While great attention is paid to the anterior temporal region by the side of the eye due to its facial proximity, the more obscure posterior region is seen back in the hair-bearing Read More…