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Clinical Outcomes in Rib Removal Surgery for Waistline Reduction
Rib removal surgery represents the elimination of the last anatomic...
The Surgical Technique of Clavicular Osteotomies in Shoulder Width Reduction
Shoulder width reduction is done by shortening the length of the...
The shape and appearance of the forehead is highly influenced by...
Background: The evolution of rhinoplasty surgery over the past twenty years...
Bony overgrowths occur around facial implants, particularly chin and jaw angle implants, is commonly observed on 3D CT scans and during implant replacement surgery. It is less discussed than bone imprinting changes underneath the implant even though it is part of the overall bone remodeling process that occurs as an adaotive response to implant placement. Read More…
There is an established association of bone changes with facial implants but it is poorly understand despite that the biology of bone remodeling in response to mechanical stress is well known. Facial implants can cause underlying bone resorption (bone remodeling/imprinting), although the degree varies considerably by implant type, location, design, fixation method, and duration of Read More…
While rarely talked about or usedI have found that soft-tissue jaw angle implants are one of the most effective reconstruction option for patients with chronic masseteric muscle dehiscence when the primary problem is loss of soft-tissue contour and inadequate implant coverage rather than a deficiency of the bony jaw angle itself. Concept Instead of augmenting Read More…
For masseteric muscle dehiscence after jaw angle implant surgery, soft-tissue augmentation can be useful when direct muscle reattachment is not possible, when there is persistent contour deficiency, or when implant coverage is inadequate. The goal is to recreate a soft-tissue envelope between the implant and overlying tissues and reduce visibility or palpability of the implant. Read More…
Masseteric muscle dehiscence after jaw angle implant surgery is more common than is ackowkedged and rarely discussed in the medical literature. But it can create several problems: implant exposure due to lack of adequate full muscle coverage, a step off or soft tissue contour deformity over the gonial angle, an abnormally high muscle bul when Read More…
Management of the masseter muscle is one of the key technical issues in placement of isolated jaw angle and wraparound jawline implants. This applies to all implant sized and dimensions but particularly vertical-lengthening or large widening angle implants. It is also pertinent to any jaw angle that has had prior surgery, such as SSROs and Read More…
In the context of waist narrowing surgery, rib removal and rib fracture (rib remodeling) techniques are fundamentally different procedures. in how the lower three ribs are treated. As a result it is never that they arrive exactly at the same aesthetic outcome. Why Rib Removal Produces More Permanent and Predictable Narrowing Rib removal (typically portions Read More…
The.most common facial defatting procedure, a buccal lipectomy, is seemingly a straight forward and effective procedure. But like all aesthetic surgeries there are downsides and errors with it. Common buccal lipectomy (buccal fat removal) errors can be divided into planning errors and technical surgical errors. Patient Selection Errors These are often the most significant misjudgements. Read More…
Patients frequently request revision of scars from traumatic injuries for improvement, The pertinent question is upfront is what is the likelihood that such scar revisions will make it look better or less visible. This answer partially lies in understanding the concept of RSTLs and the scar’s relationship to them. Relaxed skin tension lines (RSTLs) of Read More…
When designing a custom zygomatic arch implant, the primary goal is usually not projection but controlled lateralization of the arch to create the desired increase in upper facial width while maintaining a natural skeletal contour. Key Design Parameters 1. Amount of Width Increase This is the most important variable. Typical augmentation: 3–5 mm per side: Read More…
Clinical Outcomes in Rib Removal Surgery for Waistline Reduction
Rib removal surgery represents the elimination of the last anatomic...
The Surgical Technique of Clavicular Osteotomies in Shoulder Width Reduction
Shoulder width reduction is done by shortening the length of the...
The shape and appearance of the forehead is highly influenced by...
Background: The evolution of rhinoplasty surgery over the past twenty years...