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Plastic Surgery Case Study – Female Custom Jawline Implant for V Line Jaw Reshaping in Treacher Collins Syndrome

Background: Syndromic jaw deficiencies represent the most severe lower facial deformities that occur. There is a spectrum of such congenital craniofacial deformities of which hemifacial microsomia and Treacher Collins are the most recognized. What these syndromes share in common is that the branchial arches are affected which results in varying degrees of mandibular underdevelopment as Read More…

Technical Strategies – The Hemi Lower Blepharoplasty Incision for Custom Infraorbital-Malar (IOM) Implant Placement

The midface equivalent of the custom jawline implant of the lower face is the custom infraorbital-malar (IOM) implant. Besides the break for the nose this is an implant that augments the convexity of the midface from under the eye out onto the zygomatic body and arch. While it is possible in some smaller IOM implants Read More…

Plastic Surgery Case Study – Custom Wrap Around Jawline Implant in Lower Jaw Asymmetry

Background: Like the rest of the face the lower jaw forms from paired branchial arches that meet and fuse in the middle to create its final shape in utero. How well these complex embryologic processes form and merge is what determines how symmetric the two sides of one’s lower jaw will be. In an incredible Read More…

Plastic Surgery Case Study – The Value of Rib Grafting in Cleft Rhinoplasty Reconstruction

Background: Besides the lip and palate, the classic and common orofacial cleft affects the nose as well. Even though the cleft does not run directly through the external nose it does affect the floor of the nose (palate) which, through deviations of the septum, has extended effects through the middle vault and the alar cartilages Read More…

Plastic Surgery Case Study – Sliding Genioplasty Incorporating An Indwelling Chin Implant As Part Of The Advancement

Background: When a chin implant fails to provide satisfactory horizontal projection, the initial question is always why. Most of the time the surgeon has inadequately estimated the patient’s aesthetic needs or chosen an implant size they thought looked adequate. More times than not there has been no preoperative imaging prediction work done to determine what Read More…

Plastic Surgery Case Study – Secondary Sliding Geniopasty Using The Indwelling Chin Implant As A Guide

Background: The use of an implant to correct a small chin is one of the most common facial reshaping procedures. Conceptually it is a very straightforward procedure but consistently getting good aesthetic results is dependent on numerous variables such as implant style and size, its position on the bone and ultimately the patient’s response to Read More…

Plastic Surgery Case Study – Custom Ultrasoft Testicle Implant Replacements for Small Hard Saline Implants

Background: The current state of testicle implants is closely tied to that of breast implants. When the silicone breast implant moratorium was instituted in 1991 that also applied to every other aesthetic body implant that was composed of silicone gel. Away went silicone testicle implants and the search for an FDA-approved replacement took over a Read More…

The Removal of Buccal Fat And Redistribution for Synergestic Cheek Sculpting By Fat Injection

The buccal lipectomy is a well known facial defatting/thinning procedure. While the total volume of the fat pads is not large (3 to 4ccs per side), it is unique fat in that it is a highly concentrated solid collection of adipose cells.The exact biologic behavior of this fat has never been fully understood as its Read More…

Techical Strategies – The High Incision for Extended Temporal Implant Placements

Temporal implants offer an assured volume increase in correction of aesthetic temporal hollowing. They are available in two styles, standard and extended. The extended temporal implant style was developed to offer a more complete temporal augmentation effect from the zygomatic arch up to the bony temporal line. Two thickness are available from thin (3mm) to Read More…

The Use of Alar Contour Septal Grafts in Alar Rim Retraction in Rhinoplasty Surgery

Rhinoplasty surgery is fundamentally about changing the osteocartilaginous structural support of the nose. The eventual aesthetic result becomes how the overlying skin shrinks down around the reshaped nasal structure. While this is an accurate assessment for much of the nose, it is not completely accurate for certain component parts of the nose. One such part Read More…