Blog

Plastic Surgery Case Study – Buttock Implant Replacements for Size Increase – How Much More Can Be Secondarily Achieved?

Background: Implants remain the definitive buttock augmentation procedure when fat grafting (BBL surgery) has ‘failed’ or there are inadequate fat stores to harvest. While implants provide an assured volume outcome their long-term success (lack of immediate or relayed complications) is highly dependent on the tissue pocket in which it was placed. As a general rule Read More…

Technical Strategies – Forehead Horn Reductions Through A Frontal Hairline Approach

The forehead is usually thought of as having a broad flat surface but in reality its topography is a bit more complex. Its shape varies amongst men and women but the one feature that is consistent is the projection of the upper forehead should not exceed that of the lower half of the forehead. Such Read More…

First Stage Scalp Expander Technique in Large Custom Skull Implant Augmentations

The use of a scalp tissue expander is a critical first step in the large skull implant augmentation patient. Since the scalp is a tightly adherent soft tissue envelope that surrounds all five sides of the skull it has a limited ability to stretch to accommodate an expanded cranial contour using an implant underneath it. Read More…

Plastic Surgery Case Study – Female Back of the Head Custom Skull Implant

Background: The greatest aesthetic head shape deficiency in females is on its posterior surface or the back of the head. While commonly referred to as the occiput this is anatomically inaccurate. The back of the head is composed of multiple skull bones of which the singular occipital bone makes up only the lower half. The Read More…

Plastic Surgery Case Study – Custom Back of the Head Skull Implant with Scalp Roll Excision

Background: The back of the head is unique in many ways but is the only skull surface that can have bone and scalp aesthetic deformities. The back of the head can have bony protrusions such as occipital knobs and buns as well as a wide variety of bony flattening and asymmetry shapes. Excess scalp can Read More…

Technical Strategies – External Repositioning of the Deviated Columella and Nostril

Deviations of the nose are common and can involve any of its osteocartilaginous structures. One such deviated component is that of the columella, the strip of skin at the bottom of the nose that separates the two nostrils. It overlies the end of the cartilaginous septum which separates the two sides of the internal nasal Read More…

Plastic Surgery Case Study – Type 3 Rib Removal – A Corset Waist Reduction Approach

Background: Rib removal surgery for waist narrowing is a confusing concept because of the different ways surgeons perform it. (and often with different aesthetic outcomes as a result) When one thinks of rib removal it is understandable that the focus is exclusively on the ribs themselves. But rib bone modifications can be done by either Read More…

Plastic Surgery Case Study – Multi Surface Head Reshaping with a Custom Back of the Head Skull Implant and Top of Skull Reduction

Background: Skull reshaping is a general term that applies to a variety of surgical techniques designed to alter the shape of the head into a more pleasing shape as desired by the patient. Fundamentally these techniques come down to augmentation by custom designed skull implants and reduction by outer table skull bone removal. While often Read More…

Plastic Surgery Case Study – Male Custom Large Submalar Cheek Implant Replacements

Background: Cheek implants have been around for nearly fifty years and their basic styles have largely remained the same. Malar, submalar and combinations thereof (aka shell implants) have been the mainstay of implant-based cheek augmentation which can be effective for many patients. In an otherwise normal volume face these implants work best in women and Read More…

Plastic Surgery Case Study – Custom Infraorbital-Malar-Maxillary Implants for a Permanent Facial Augmentation Effect Based on Prior Radiesse Injectable Filler

Background: The most common form of cheek or midface augmentation is with the use of injectable materials. While fat is the most frequently used method of surgical injections as it is often performed along with other procedures, synthetic fillers even exceeds the use of fat because it is non-surgical. A wide variety of synthetic filler Read More…