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Custom Infraorbital–Maxillary Implants – Case Example and Design Principles

There are numerous strategies for structural midfacial augmentation, some of which are less commonly recognized due to their lower frequency of use. One such procedure is central midface projection enhancement, anatomically termed infraorbital–maxillary augmentation. Infraorbital–maxillary augmentation refers to surgical enhancement of the infraorbital rim and anterior maxilla to improve under-eye support, increase midface projection, and enhance Read More…

Trabnspalpebral Tail of the Brow Bone Reduction Reversal Case Example

Brow bone reduction reversal means trying to restore projection to the brow after it has been surgically reduced. Most patients seeking reversal want: More brow prominence A stronger / more masculine contour Restoration of pre-transition facial structure (common in detransition cases) Correction of over-reduction Regardless of the type of brow bone reduction done, burring or Read More…

Mouth Widening Surgery Technique (Lateral Commissuroplasty – Aesthetic Widening)

This is a technically delicate procedure because the oral commissure is a muscular convergence zone, not just a skin corner. Precision and conservative movement are critical. Preoperative Planning A. Measurement Determine desired amount of widening Mark vertical reference lines from: Medial limbus Mid-pupil (smile position) Avoid going lateral to mid-pupil in most aesthetic cases. B. Read More…

Male Mouth Widening Case Example

Mouth widening surgery (also called oral commissuroplasty or lateral commissuroplasty) is a cosmetic procedure designed to increase the horizontal width of the mouth by repositioning the corners (oral commissures) outward. What It Does Increases mouth width Creates a broader smile Improves facial balance in patients with a narrow lower face Can enhance dental show when Read More…

Male Vermilion Lip Advancemen Case Example

Vermilion lip advancement is a surgical technique designed to increase the visible height of the pink portion of the lip (vermilion). It is most commonly performed on the upper lip but can also be done on the lower lip. This is a direct excisional procedure performed at the vermilion–cutaneous junction (the white roll). Indications Thin Read More…

Custom Brow Bone Implant Case Example

Brow bone implants (also called supraorbital ridge implants) are solid facial implants used to increase projection and definition of the brow ridge. They are most commonly performed for: Facial masculinization Enhancing a flat or recessed brow Balancing forehead–nose proportions Reconstructive contour correction What They Do Brow bone implants increase: Forward projection of the supraorbital rim Read More…

The Evolution of Rib Modification for Aesthetic Body Contouring

The precise origins of rib surgery for aesthetic waist contouring remain unclear. What is clear, however, is that the procedure has evolved significantly in philosophy, technique, and acceptance. Its progression can be divided into three distinct phases: early speculative removal, technique standardization, and modern structural modification. Phase I: The Era of Speculation (Pre-2010) Prior to Read More…

The Latissimus Dorsi Muscle and Rib Removal Surgery – Surgical Access

In rib removal surgery, the latissimus dorsi (LD) muscle matters a lot because of where it sits, how it’s used for access, and how it’s altered during the operation. Latissimus Dorsi Muscle Anatomy The latissimus dorsi is a large, flat, superficial muscle that: Covers the posterolateral chest wall Originates from: Spinous processes of T6–L5 Thoracolumbar Read More…

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