Category: plastic surgery case study | rhinoplasty

Plastic Surgery Case Study – Making A Smaller But Structurally Stable Nose

Background: Making a nose smaller is a fairly common request in patients seeking rhinoplasty surgery. Most of these requests often refer to one specific nasal feature, such as a reduction of a prominent hump or a large nasal tip. The goal is to bring back the larger unaesthetic nasal feature into proportion with the rest Read More…

Plastic Surgery Case Study – The Custom Cheek Implant for Depressed ZMC Fracture Reconstruction

Background: One of the most common facial fractures is that of the cheekbone or malar bones. Anatomically this is known as the ZMC or zygomaticomaxillary complex, a name that comes from the four bony legs that support the projection of the cheek bone…the inferior posterior maxillary buttress, the lateral zygomatic arch, the superior lateral orbital Read More…

Secondary Fixation Hardware Removal After A Sliding Genioplasty

The sliding genioplasty is a commonly performed aesthetic facial procedure for those that prefer or need an autologous chin augmentation approach. There are numerous variations on how the chin bone is cut and moved for this operation but, in the end, they all need some method of bone fixation. Titanium plates and screws are the Read More…

Plastic Surgery Case Study – Sliding Genioplasty Replacement for an Inadequate Chin Implant Result

Background: Implants remain the most common form of chin augmentation due to their immediate effects and relative simplicity of the surgery. But chin implants have their limitations including the risk of infection, implant malposition and inadequate amounts of augmentation. When the postoperative problem is an inadequate augmentation result the question becomes whether to replace the Read More…

The Safety and Effectiveness of Perioral Liposuction

In trying to achieve a slimmer face, for a facial derounding effect, there are limited areas of fat removal which can help do so. The most well known is the buccal lipectomy procedure in which an encapsulated areas of fat is directly removed in the cheek area through an intraoral approach. Fat removal by liposuction Read More…

Plastic Surgery Case Study – Total Ear Reshaping with Subtotal Otoplasty Reversal, Vertical Ear Reduction and Helical Lidding Correction

Background: The most common aesthetic ear surgery is a setback otoplasty. There are a wide variety of methods to pull back the protruding ear including suture techniques, cartilage removal and scoring and combinations of both. Regardless of the technique(s) used they are mainly applied to the conchal area in the middle third of the ear Read More…

Plastic Surgery Case Study – The Combined Horizontal-Vertical Chin Augmentation by Bony Genioplasty

Background: The horizontal chin deficiency is the most common reason for the request for chin augmentation and standard chin implants have long been designed to address that dimensional need. But some chin deficiencies have a vertical deficiency as well which is often overlooked or whose significance is underappreciated. When standard chin implants are used in Read More…

The Bony Anatomy of the Jaw Angles and Its Implications for Good Positioning of Jaw Angle Implants

Despite the fact that jaw angle implants have been around almost as long as chin implants, and there are two jaw angles and only one chin, the use of jaw angle implants is but a fraction of that of chin implants. Historically the reason for the limited use of jaw angle implants was demand…few patients Read More…

Plastic Surgery Case Study – Moderate Brow Bone Burring Reduction Through A Limited Frontal Hairline Incision

Background: One of the most commonly performed facial feminization procedures and the key one for the upper third of the face is brow bone reduction. As the male brow bone grows larger than a female’s due to hormonal differences the size of the frontal sinus expands outward creating the stronger brow bone appearance on the Read More…

Evaluation of Gluteal Muscle Atrophy in Intramuscular Buttock Implants

The intramuscular pocket has become the preferred location for buttock implants. As opposed to the historic subfascial location, deeper intramuscular pockets provide better implant soft tissue coverage which lowers almost all of the known buttock implant complications, particularly fluid collections, inferior migration and implant show. But this is not a natural tissue plane like the Read More…