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Inflations of Scalp Tissue Expanders in Two Stage Skull Augmentations

In large skull augmentations there is a necessity for expanding the scalp to accommodate its volume. This is done by a first stage scalp expander process using a specially designed ‘balloon’ that acts much like the pregnancy process. While the expander requires surgical placement the expansion process is done by the patient over the following Read More…

Plastic Surgery Case Study – Custom Chin Implant for Strong Squared-Shaped Male Chin Augmentation Result

Background: Strong chin augmentation effects in men requires variations of standard types of procedures. The interpretation of what a strong chin augmentation means is open to individual interpretation. While usually referring to the amount of forward chin projection, with or without vertical lengthening, it may also be referring to a less round or more square Read More…

Plastic Surgery Case Study – Long Term Results in Type 2 Rib Removals in a Transfemale

Background: Rib removal for a waist narrowing effect, while once an obscure and purported unsafe aesthetic procedure, is now becoming more commonly done. As a result there have become a variety of methods to do so which fundamentally come down to fracture vs excisional techniques. There are and will continue to be debates about which Read More…

Plastic Surgery Case Study – Female Custom Chin Implant Replacement for V Shaped Chin Effect

Background: Chin augmentation using an implant is the most common form of facial bone enhancement. The chin implants used have been around for over 50 years. Interestedly most of the style of available chin implants styles have changed little since then. Almost all chin implants have an extended design or have long wings that extend Read More…

Plastic Surgery Case Study – Pelvic Plasty for Increasing Pelvic Bone Width

Background: Hip augmentation is one of the last aesthetic body contouring areas to be more fully developed. Past and current efforts have looked at how the hips are perceived in many females where there is a relationship between the buttocks and the hip at both the anatomic and aesthetic levels. BBL surgery has brought the Read More…

Plastic Surgery Case Study – Top of the Head Skull Reduction

Background: The concept of skull reduction is like the reduction of almost any skeletal structure in the body…there are limits. The length and thickness of the anatomy is one controlling factor along with how well the overlying soft tissues shrink and contract down around the reduced bone. Thus most aesthetic reductions have to be given Read More…

Nostril Narrowing in the Wide Nasal Tip

The nostrils are essentially the only non-osteocartilaginous part of the nose that can be surgically modified. While the lower alar cartilages do provide some structural support this is closer to the tip than the nostril base. The lateral or base of the nose is composed only of soft tissues regardless of how wide or narrow Read More…

Pelvic Plasty – 5. Recovery

Pelvic Plasty is a skeletal-based form of hip augmentation that increases pelvic bone width. The postoperative swelling and discomfort it causes is not particularly different from hip implant augmentation in general. There will be drains placed at the end of the surgery that will need to be in place for a few days after the Read More…

Pelvic Plasty – 4. The Sub Iliac Plate Hip Dip Implant

While iliac plates provide an effective pelvic bone width augmentation the iliac crest does not comprise the entire hip region. It is a very specific form of hip augmentation that is skeletally based. Two-thirds of the total hip region lies below the bony crest. The middle third of the hips is known as the hip Read More…

Pelvic Plasty – 3. Surgical Placement of the Iliac Plates

In placing iliac plates for pelvic bone widening its location on the bone will determine its effectiveness. The iliac crest is on the top of the wing of the ilium which flares outward at about a 45 degree angle in which it has an inner and outer lip. To optimally widen the pelvic bone the Read More…