Category: scar revision

Temporal Scar Revisions of Prior Coronal Scalp Incision

Incisions in the scalp run the risk of creating visible scars. Such visible scalp scars are almost always due the lack of hair with it. As a matter of fact scalp scars can be very narrow, but if hair is lost along the edges the scar will appear much bigger than the actual scarred skin Read More…

Free Diced Cartilage Grafts in Rhinoplasty

The use of cartilage grafts in the nose is common and is the most frequently used tissue graft in the nose. This is not surprising given that 2/3s of the nose is made up of cartilage. Harvesting adequate cartilage for use in rhinoplasty can be done from a variety of sites from the septum, ear Read More…

Clinic Snapshots – Cupid’s Bow Reduction Result

The dominant feature of either upper or lower lip is that of the cupid’s bow. It is really the only non-linear feature of the lips. The resemblance of the double curve of the upper lip to a bow laying on its side is obvious. While peaks of the bow could resemble any bow, it presumably Read More…

OR Snapshots – Goretex Chin Implant Removal

Chin augmentation has been one of the most popular facial reshaping procedures for decades. Since its inception in the 1950s, a wide variety of materials have been used for chin implants. Despite this diversity of implanted materials, the silicone chin implant remains the primary implant used due to large number of different styles and sizes, Read More…

Plastic Surgery Case Study – Effects of a Wide Sternal Gap in Breast Augmentation

Background: Breast implants are capable of making dramatic changes to a women’s breasts. Increases in size with a much fuller shape are typical and expected. Implants achieve these effects by altering the soft tissue through their ability to be stretched and expanded. But there are certain fixed features of a woman’s chest that may not Read More…

Age-Related Facial Skeletal Changes

The anatomic structure of the face is well known to change with aging from the outer skin down to the bone. This recognition of how the face ages provides for more effective treatment strategies. While once skin pulling and tightening was the only treatment approach, the understanding of the loss of fat with aging has Read More…

Plastic Surgery Case Study – Massive Palatal Tori Removals

Background: The finding of a bony growth on the palate is most commonly the result of the development of a tori. They typically present as a small midline bony lesion less than a few centimeters in size in early adult life. They are capable of growth over one’s lifetime but it its usually very slow. Read More…

OR Snapshots – Batten Rib Graft Lower Alar Cartilage Grafts in Rhinoplasty

The use of cartilage grafts in rhinoplasty are done for a wide variety of reasons. While all cartilage grafts add support, some of these effects are to improve the shape of the nose while others are to improve its breathing function. Of all cartilage graft placements, the nasal tip is the most common area in Read More…

OR Snapshots – Vertical Ear Reduction with Scaphal Resection

Changing the shape of the ear is most commonly done by a traditional otoplasty or ‘ear pinning’. While the size of the ear may seem to get a bit smaller in otoplasty as it moves the ear closer to the side of the head, the actual ear size does not really change. True ear size Read More…

OR Snapshots – Transpalpebral Brow Bone Reduction for Vertical Eye Opening

Brow bone reduction surgery reduces the prominence of the supraorbital ridges of the forehead and can be done in both men and women. Whether done for males to reduce the ‘Neanderthal’ brow or in male to female transgender facial feminization procedures, the main direction of reduction is in the horizontal dimension. Reducing the brow bone Read More…