Blog

Plastic Surgery Case Study – Custom Infraorbital-Malar Implants for the Treatment of the Aesthetic Orbito-Zygomatic Deformity

Background: Aesthetic augmentation of the midface has historically been done using a set of available standard implant shapes. Cheek and tear trough implants have their roles but are best used on top of a more normal skeletal framework for modest aesthetic enhancements. In more significant midface retrusions there is a comprehensive skeletal deficiency that can Read More…

A Clinical Study of Lateral Brow Bone Augmentation by Hydroxyapatite Granules

Brow augmentation is an infrequently performed facial bone augmentation procedure. Not that its potential benefits do not exist, but it suffers from an overall lack of aesthetic awareness by surgeons and no standard technique for doing so. As a result brow bone augmentation is done by a wide variety of materials from injectable fillers to Read More…

The Antegonial Notch, Jawline Linearity and Custom Jawline Implant Designs

The shape of the jawline is influenced by a variety of anatomic components of which the chin and jaw angles re the most recognizable. Known as the mentum (chin) and gonial angles (jaw angles) the three corners of the jawline comprise over two-thirds of its surface area. The remaining part of the jawline lies between Read More…

Rib Removal vs Rib Fracturing in Waistline Narrowing Surgery

Rib removal is an effective, but not yet widely recognized, procedure to create the effect of waistline narrowing. By changing the lateral protrusion of the lower ribs, particularly the free floating ones (ribs # 11 and 12), the bony support of the outer waistline is reduced. One of the very interesting questions about rib removal Read More…

Basic Anatomic Concepts in Rib Removal Surgery for Waistline Narrowing

Rib removal is a general but recognized term that applies to waistline narrowing surgery. On the surface the term would imply that rib removals are done and the waistline will fall further inward with the loss of outer bony support. While this is true it is not quite that simplistic. To provide a more in-depth Read More…

Technical Strategies – Endoscopic Browlifting with Bone Tunnel Fixation

There are multiple techniques for browlifting surgery which differ by incision location and how the browlift is performed. (tissue excision vs tissue shifting) The endoscopic browlift technique is a tissue shifting method based on forehead skin and scalp relocation through subperiosteal mobilization and tissue fixation in an elevated and relocated position.While effective patients with a Read More…

Plastic Surgery Case Study – Male 3 Stage Chin Augmentation Journey

Background: Chin augmentation for many patients can largely be a one dimensional operation. For those who do not need any vertical change (lengthening or shortening) and width is not a significant concern, then the amount of horizontal augmentation desired in profile becomes the goal and measure of success of the surgery. Regardless of how the Read More…

Plastic Surgery Case Study – Custom XL Pectoral Implants in the Male Body Builder

Background: Pectoral implants are used for male chest enhancement and, most commonly, are done for the same reason women get breast implants. (lack of adequate development) Males with small chest muscles who just want to have a normal chest or want some chest enhancement over what they have achieved by their exercise program make up Read More…

The 3D Bony Anatomy of Chin Clefts and Dimples

The chin is a unique facial area because its surface can have some very distinct features. Two types of topographic chin features can occur, dimples and clefts. While often confused they are different in shape. A chin dimple is located in the central chin pad and is a circular indentation. A chin cleft is a Read More…

Plastic Surgery Case Study – Secondary Otoplasty Surgery For Maximum Ear Setback

Background: Otoplasty is a very common aesthetic ear surgery that has a long history of various techniques to lessen the appearance of the protruding ear. Regardless of the technique used the goal is to being the ear to a more pleasing position along the side of the head. What the position is has an ideal Read More…