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The Role of Septal Columellar Strut Grafts in Nasal Tip Reshaping

A septal columellar strut graft is one of the most fundamental structural grafts in rhinoplasty. Positioned between the medial crura of the lower lateral cartilages within the columella, it acts as an internal support beam for the nasal tip. While it does not directly create a new tip shape, it provides the stable framework upon Read More…

Female Custom Forehead Implant Design Concepts

A custom female forehead implant is designed to create a smoother, fuller, and more feminine forehead contour while preserving the natural aesthetic characteristics of the female upper face. Unlike a standard implant, it is custom-designed from a 3D CT scan to precisely match the patient’s skull anatomy and desired amount of augmentation. Key design concepts Read More…

Understanding the Relatively High Rate of Custom Facial Implant Revisions

One of the paradoxes of custom facial implants is that while they provide the most precise method of facial skeletal augmentation, they also have a higher revision rate than most standard cosmetic implant procedures and almost any other aesthetic facial surgery. Depending on the facial region and the surgeon’s experience, revision rates of 15–30% are not Read More…

Custom Female Forehead Implant Case Example with Long Term Followup

Custom forehead implants in women are fundamentally different from those designed for men. The objective is not to create a prominent brow ridge, but rather to create a smooth, gently convex forehead with improved upper facial harmony while preserving feminine skeletal characteristics. The Ideal Female Forehead An aesthetically pleasing female forehead typically has several defining Read More…

The Embryology of Facial Asymmetries

One of the key elements of beauty which is well known is that of facial symmetry. Many patients that present for facial reshaping surgery have various degrees of facial asymmetry, some greater than others. As a result a common question patients often ask is why do they have such facial a symmetries? Once the embryologic Read More…

The Challenges of Aesthetic Hip Implants

Hip implants for aesthetic body contouring are among the most technically demanding procedures in implant surgery. While the concept seems straightforward—adding projection to the lateral pelvis—the anatomy, biomechanics, implant design, and surgical access make them considerably more complex than breast, chin, or calf implants. The main reasons include: 1. There is no natural implant pocket Read More…

Clavicle Size and Its Effect on Safe Shortening in Shoulder Narrowing Surgery

The size and shape of the clavicle are among the primary anatomical factors that determine how much shortening can be performed safely. Several aspects of clavicular anatomy matter: Overall clavicle length A long clavicle provides more “reserve” for shortening. A short clavicle reaches biomechanical limits sooner. Men generally have clavicles about 15–17 cm long, while Read More…

Male Paranasal Implants Case Example

Paranasal implants are custom-designed or standard implants placed over the piriform aperture and paranasal (premaxillary) region to increase support and projection beside the base of the nose. They are among the most effective procedures for correcting a recessed central midface. What They Correct Paranasal implants improve: Deficient projection around the nasal base A deep nasolabial Read More…

Male Extended Corner of Mouth Lifts Case Example

An extended corner of the mouth lift (ECML) is a modification of the traditional corner of the mouth lift (CML) that extends the excision beyond the commissure and onto the lateral upper lip. It is designed for patients in whom simply elevating the oral commissure is insufficient to create a more youthful or aesthetically pleasing Read More…

Penile and Testicle Implants – Which Is Done First?

Augmentation of the penile-scrotal region can be done using penile and testicular implants. Some men only ever get one implant type while others may desire both. In the latter case the pertinent question is which should be done firsty and can they even be done together, If both procedures are planned, the penile implant (IPP) Read More…