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Challenges in Medpor Facial Implant Removals

Medpor (porous polyethylene) facial implants are designed to integrate with surrounding tissue, which is great for stability—but that same feature makes removal significantly more difficult than with smooth implants (like silicone). Here are the main challenges surgeons face: 1. Tissue Ingrowth (Primary Issue) Medpor is porous, allowing fibrovascular tissue to grow into it. Over time, Read More…

The Tunnel Technique in Aesthetic Rib Removal Surgery for Waist Narrowing

The “tunnel technique” in rib removal for aesthetic waist narrowing refers to a minimally invasive surgical approach where portions of the lower ribs (typically 10–12) are removed through small, strategically placed incisions, creating a “tunnel” to access tand remove he ribs rather than using a wide ??? (open) exposure.   Core Concept Instead of fully Read More…

When Adding an Implant Improves the Outcome of a Facelift

Does adding an implant (standard or cusom) actually improve the aesthetic outcome over just a facelift alone?” Short answer: sometimes yes—but only when there’s a structural deficiency to fix. Otherwise, it can add complexity without meaningful benefit. Here’s the practical way to think about it: When an implant does improve the facelift result A facelift Read More…

Penile Frenulectomy – Surgical Technique and Benefits

A penile frenulectomy is a minor surgical procedure that involves cutting or removing the frenulum—the small band of tissue on the underside of the penis that connects the glans (head) to the shaft. The procedure Can be done under local anesthesia (numbing injection) The frenulum is either released (frenulotomy) or removed (frenulectomy) The area may Read More…

Secondary Dorsal Implant After Inadequate Rib Graft Augmentation Rhinoplasty

Nasal dorsal augmentation involves increasing the height and/or improving the contour of the nasal bridge (dorsum). It is a common component of rhinoplasty, particularly in patients with a low or flat nasal bridge or an irregular dorsal contour. Common Indications Low nasal bridge (common in many Asian, African, or revision rhinoplasty patients) Saddle nose deformity Read More…

Reshaping the Round Face – Implant and Soft Tissue Reduction Strategies

For a round face, the goal is to shift from a circular, width-dominant shape to something more vertically defined and angular. With custom implants, you’re adding structure—but in round faces, soft tissue thickness is often the limiting factor, so reduction plays a bigger role than usual. Here’s how to think about the best combinations: Core Read More…

Custom Facial Implants – Visible vs Palpable Malpositions

Malpositions of custom facial implants can be visible externally or can only be palpable. This is a really useful way to think about it, because not every “miss” actually shows—and some that are barely measurable can be surprisingly visible. I’ll break it down by visible vs. palpable vs. both, then give you the patterns by Read More…

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