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Combining Shoulder Narrowing and Rib Removal Body Contouring Surgeries

Can shoulder narrowing  and rib removal body contouring surgeries be done at the same time…and what would the recovery be like?   Yes, shoulder reduction (clavicle shortening) surgery and rib removal/waist narrowing surgery can technically be performed during the same operation, but it is generally considered a demanding combination with a more difficult recovery than Read More…

Can AI-Generated Face Images Be Recreated with Custom Facial Implants?

Ai Facial Imaging Replication – Understanding What Is Possible Artificial intelligence (AI) can now create highly realistic images of faces. Some people use these images to visualize facial features they would like to have, such as a stronger jawline, more prominent cheekbones, a more projected chin, or better facial balance. A common question is: “Can Read More…

Silicone Sheeting for Facial Soft Tissue Lipoatrophy Augmentation

Silicone sheeting is most commonly used as an external scar treatment but its less known as an implant material for facial soft tissue augmentation. This is a concept that has been explored historically but is rarely used today in a pure sheet form. Silicone Sheeting as an Implant Thin sheets of medical-grade silicone can be Read More…

Facelift – Before, During or After Custom Jawline Implants

While jaw implant augmentation can be done at any age if a structural deficiency exists management of loose or sagging overlying soft tissues is usually more age dependent. But in contemporary facial surgery we are seeing much younger patients seeking face/necklift surgery. Weight loss, early onset aging in structurally weaker faces and the desire for Read More…

Deciding Between A Custom Infraorbital or Infraorbital-Malar Implant Design

One of the more contemporary and increasingly popular facial reshaping changes that has grown in demand due to custom implant designs is that of the periorbital region, specifically the upper midface along the infraorbital rims and cheekbones. Structural deficiencies in this area even in young people cause undesired effects of undereye hollowing and weak cheekbones. Read More…

Replacing a Hard Small Highly Positioned Saline Testicle Implant

For a patient with a small, hard, high-riding saline testicular prosthesis, replacement with a modern solid nsilicone prosthesis is often worthwhile because the problems are frequently related to the original implant characteristics and/or pocket contracture. Common findings at surgery include:   Thickened fibrous capsule around the implant. Insufficient dependent scrotal pocket. Fixation sutures tethering the Read More…

Shaving of Ribcage Protrusions – Concept and Case Example

What Does Rib Shaving Mean? Shaving of ribcage protrusions is a surgical contouring procedure in which a prominent portion of a rib or ribs is reduced through excision of its outer convexity through bone or cartilage removal rather than removing the entire rib segment. Typically this is done for protrusions of the costal or cartilage-comprised Read More…

Aesthetic Hip Augmentation – Surgical Placement of Hip Implants

The surgical placement of aesthetic hip implants is dictated by the soft tissue anatomy between the iliac crest and the greater trochanter of the femur. While it would be ideal to place the implant in a subfascial or submuscular plane over the lateral pelvis where the implant is protected and edges would have no risk Read More…

Aesthetic Hip Implants – Design Considerations

For custom aesthetic hip implants, the dimensions are driven more by the patient’s pelvic width, soft-tissue thickness, and desired silhouette than by a standard size. Typical design ranges I have used are:   Parameter Typical Range Vertical length 14–22 cm Maximum width 10–14 cm Maximum projection 1.5 – 4.0 cm Edge thickness Feathered to near Read More…

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