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Unique Anatomic and Surgical Differences of the Earlobe

The earlobe is uniquely different from the rest of the ear because it is the only part of the external ear that contains no cartilage. The upper ear framework—the helix, antihelix, concha, tragus, and other structures—is supported by elastic cartilage that gives the ear its shape, stiffness, and recoil. The earlobe (lobule), however, is composed Read More…

Temporalis Muscle Reduction Surgery vs. Botox Reduction

Reducing the size of the temporal muscle on the side of the head is done for both Both approaches aim to slim the temple/upper face area by reducing the bulk of the temporalis muscle, but they differ a lot in permanence, risk, predictability, and recovery. Feature Temporalis Botox Temporalis Reduction Surgery Invasiveness Non-surgical injections Surgical Read More…

Technical Strategies: Iliac Crest Suture Anchors in Hip Implants

Aesthetic hip implants are solid silicone body-contouring implants used to widen or smooth the lateral hip/“hip dip” area. They are a specialized aesthetic surgery option for patients seeking lateral hip width or hip-dip correction when fat grafting is inadequate or unavailable Hip Implant Concepts:: Best use: thin patients or patients without enough fat for hip Read More…

Weight Lifting After Pectoral Implant Surgery

As pectoral implants involve an elevstion of the major muscle off of the chest wall the trauma will cause some short term limitations and discomfort. But the placement of pectoral implants does not preclude weight lifting although there will be a recovery process. Most patients can return to heavy lifting and full chest training about Read More…

Do Pectoral Implants Affect The Strength of the Pectoralis Major Muscle

In many experience with pectoral implats, standard and custom, reported loss of chest muscle strength has not been reported. Thus it is fair to say that it is not a significant postperatiive concer and a general statement that  pectoral implants generally do not directly weaken the pectoralis major muscle, But they can potentially affect muscle Read More…

Impact Resistance of Custom Facial Implant Materials

One of the common questions I get about facial implants, and custom facial implants in particular, is what will happen to them if I sustain trauma to the face. Will the implant break/fracture or become displaced?  Let me address how facial implant materials respond to trauma or more specifically what is their impact resistance (aka Read More…

XL Pectoral Implants Case Example

For extra large pectoral implants, there are basically two categories: Largest standard implants Custom oversized implants Most standard male pectoral implants are in the 300–400cc range. Large standard implants go up to about 600c. Anything beyond that usually requires a custom-made implant. Custom XL Pectoral Implants Surgeons doing “extreme” chest augmentation often use: Custom solid Read More…

Male Pectoral Implant Sizing

Selecting the correct pectoral implant size is primarily based on the patient’s chest dimensions, tissue thickness, desired projection, and aesthetic goals — not simply implant volume alone. The most important concept is that implant width and height must fit the chest wall anatomy first, and projection/volume are chosen second. This is often the difference between Read More…

Custom Facial Implant Designs and The Golden Ratio – Mathemcatically Explained

The golden ratio represents a unique irrational mathematical constant that emerges when a linear segment is divided into two unequal portions such that the ratio of the total segment to the larger portion is equivalent to the ratio of the larger portion to the smaller portion. This proportional relationship possesses several mathematically significant properties that Read More…

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