Category: rhinoplasty

Nasal Tip Rotation and Projection in Rhinoplasty

While there are many changes to the nose that can be done in rhinoplasty, one of the most significant and sought after is tip rotation. While tip position is very relevant to both genders, elevating and narrowing a low hanging tip is a particular focus for many female rhinoplasty patients. While it is well Read More…

Case Study: Liposuction of the Large Male Neck

Background: The shape of the neck is one of the most important aesthetic facial areas. Having a shapely neck allows the chin and the jawline to be more clearly seen which not only creates improved facial definition but creates a more youthful look. This is evidenced in patients who undergo weight loss and those who Read More…

Arnica in Recovery From Plastic Surgery – Is It Effective?

Arnica is a well known and recognized homeopathic supplement in plastic surgery. It is touted as an anti-bruise and anti-inflammatory treatment measure that is widely prescribed after many procedures from injectable fillers to facelifts. While it is widely used, the interesting question is whether it is really effective and what is the evidence that it Read More…

Technical Strategies in Plastic Surgery – Fat Grafting in Migraine Surgery

Contemporary migraine surgery for the treatment of perpheral triggers involves decompression of the involved nerves. The most common involved nerves include the supraorbital, supratrochlear and the greater and lesser occipital nerves. (the zygomaticotemporal and auriculotemporal nerves are avulsed so they are excluded) The success of nerve decompression depends on adequate release of the enveloping muscle Read More…

Case Study: Temporal Implants in Severe Facial Lipoatrophy

Background: Facial lipoatrophy is the loss of facial fat which has various causes. Genetics, aging, weight loss and side effects of medications can all create variable degrees of facial fat loss. While fat exists throughout the face in the subcutaneous plane and around the eyes, the largest concentrated fat depot is in the buccal space. Read More…

Plastic Surgery Case Study: Transgender Brow Bone Reduction/Reshaping

Background: The shape of the forehead is very gender specific and these differences are well known. The male forehead has prominent brow ridges, a brow bone break and a forehead that has a slight backward slope. The female forehead has no visible brow ridging or break and a more convex shape as it extends upward Read More…

Breast Lifts Cause A Drop In Bra Cup Size

Sagging of the breasts is a common development for most women due to aging, pregnancy or weight loss. It is most severe with multiple pregnancies or significant amounts of weight loss. While corrective breast lifting is most frequently performed with implants to restore and even increase original breast volume, it can also be done Read More…

Artefill Injections for Acne Scars

Acne scarring remains a very difficult facial problem that defies any single method of improvement. Fundamentally, acne scars are treated by either outer skin resurfacing, complete excision, or injectable filling for pushing out the depressed scar. Each approach has its own utility based on the type of acne scar size and shape. The simplest Read More…

Five Things You May Not Know About Custom Facial Implants

The use of facial implants dates back to over fifty years ago when the first chin augmentation was done. With the expansion of facial implant styles and sizes over the years, there are many options today for nose, cheek, chin and jaw angle implants as the standard facial areas treated. In addition to these areas, Read More…

The Biology of Injectable Fat Grafting – When Will I See The Final Result?

The principal objective for fat grafting today is to serve as a soft tissue filler. Patients understandably expect that the fat that is injected will largely survive and they will retain much of the initial result for a successful outcome. A properly educated patient, however, will have been informed that fat graft survival is Read More…