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Scalp Roll Excision: Preoperative Marking Guidelines and Surgical Technique

Scalp roll excision is designed to remove a redundant fold (“roll”) of skin along the posterior scalp or upper neck, most commonly in the occipital region. These folds may present as single, double, or—less commonly—triple rolls. Successful elimination of the rolls and restoration of a smooth posterior head contour depends primarily on accurate preoperative markings. Read More…

Female Forehead Implant Augmentation Concepts

Ideal Female Forehead Contour Side-profile: Smooth, slightly convex curvature Soft brow transition Balanced projection (no bulge) Aesthetic Concept: Curvature, softness, and continuity Augmentation Method Comparisons Fat Grafting Shallow soft-tissue fill Achieves surface refinement Bone Cement Rigid onlay over bone Achieves structural contour change Custom Implant Pre-shaped implant fixed to bone Offers precise shape creation Custom Read More…

Female Custom Forehead Implant Augmentation Case Study

Introduction Female forehead augmentation is designed to enhance a forehead that is flat, concave, irregular, or under-projected by creating a smooth, gently convex, feminine contour. Unlike forehead feminization surgery (FFS), which primarily reduces or sets back bone, forehead augmentation adds volume to refine shape and curvature. The goal is not exaggeration, but subtle refinement. In Read More…

Double Occipital Scalp Roll Excision Case Study

Introduction Scalp roll excision is a minor surgical procedure used to remove a redundant fold or “roll” of skin at the back of the scalp or upper neck—most commonly in the occipital/posterior neck area. What it treats Prominent horizontal scalp or neck rolls Skin redundancy after weight loss Excess tissue following prior neck or scalp Read More…

Forehead Horn Reduction Case Study

Introduction Forehead horn reduction is a surgical contouring procedure designed to reduce a localized bony prominence of the frontal bone that can resemble a horn or knob. These prominences have a very characteristic location in the upper lateral region of the forehead and most commonly appear bilaterally. Patients typically seek treatment for cosmetic reasons, particularly Read More…

Subcostal Rib Flare: Evaluation and Surgical Correction

Introduction Subcostal rib flare refers to a visible or palpable outward angulation of the lower ribs—typically ribs 7 through 10—along the subcostal margin where the rib cage meets the upper abdomen. It is most commonly perceived as a protrusion beneath the chest, particularly when viewed from the front or side. Clinical Appearance Patients often describe Read More…

Composite Jaw Augmentation – Frequently Asked Questions (FAQ)

What is a composite jaw augmentation? A composite jaw augmentation is an advanced facial skeletal procedure that combines a sliding genioplasty (chin bone repositioning) with a custom-designed jawline implant. Together, these techniques improve chin projection, jawline length, width, and overall lower facial definition in a single, coordinated surgical plan. What is a sliding genioplasty? A Read More…

Composite Jaw Augmentation (Sliding Genioplasty + Custom Jawline Implant) Overview

A composite jaw augmentation is an advanced aesthetic facial skeletal procedure that combines controlled chin bone repositioning with a patient-specific jawline implant. This integrated approach optimizes chin projection, jawline length, and mandibular definition through a single, coordinated surgical plan. It is indicated when the chin deficiency is significant enough that it can not be augmented Read More…

Back Lift Orientation and Rib Removal: Surgical Strategy and Aesthetic Impact

When rib removal (most commonly the 11th and 12th floating ribs) is combined with a back lift, the orientation of the excision—horizontal versus vertical—is the dominant factor determining the quality of waist narrowing, scar placement, and overall contour change. 1. Horizontal Back Lift With Rib Removal Incision Transverse excision across the mid- to upper back, Read More…

Rib 9 Osteotomy Technique for Ribcage Narrowing

In rib removal surgery for waist modification, the free-floating 11th and 12th ribs have historically been the primary targets. This preference is due to their relative accessibility and lack of distal structural attachments. However, more recent surgical experience and anatomical analysis have demonstrated that ribs 10 and 11 possess longer and wider segments than rib Read More…