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Multilevel Tissue Rib Removal Surgery for Waistline Narrowing

Rib removal surgery is an all out effort to maximize waistline reduction. To bring in the sides of the waistline the most that is humanly possible a multilevel tissue reduction/removal approach is used. From the skin inward to the abdominal wall are the layers of fat, muscle and rib. Each tissue element can be modified Read More…

Plastic Surgery Case Study – Multilevel Skull Augmentation with Custom Suprabrow and Parietal-Parasagittal-Temporal Implants

Background: The shape of the skull is affected by numerous bony and muscle features which ultimately work together to create an overall head shape. In a narrow head shape it is marked by a bony temporal line that is more narrow from the forehead to the back of the head. This can make the brow Read More…

Custom Jawline Implant Designing for V Line Jaw Reduction Restorations

Jaw reduction, often called V line surgery, is a popular facial reshaping operation and is done by several different techniques. But no matter how it is done it is not an easy operation due to the limited visibility working through intraoral incisions underneath the masseter muscle and around the pathway of the inferior alveolar/mental nerves. Read More…

Plastic Surgery Case Study – Custom Skull Implant for Male Residual Posterior Fontanelle Back of Head Contour Deformity

Background: The shape of the skull is influenced by a variety of structural elements within it as well as external forces. The internal elements are mainly the suture lines around which the skull bones form and are shaped. The sutures lines have a major influence particularly where they join other suture lines. These junctional areas Read More…

Plastic Surgery Case Study – Secondary Hardware Removal Of Clavicle Osteotomies in Shoulder Narrowing Surgery

Background: Removal of a section of the horizontal length of the clavicle is an effective method for shoulder width reduction. (shoulder narrowing) After the segment of bone is removed a single superior plate or double plate fixation (superior and anterior plates) is applied for bone fixation to allow primary bone healing. These plates are strong Read More…

Technical Strategies – The Window Technique In Brow Bone Reduction Forehead Reshaping

Significant brow bone reduction requires more than a burring technique. The thickness of the bone over the frontal sinus is too thin to permit more than a few millimeters of brow bone reduction. A bone flap setback technique is the definitive brow bone reduction method. By removing the entire bone cover over the frontal sinus Read More…

Plastic Surgery Case Study – Custom Skull Implant for Flat Back of Head with Postoperative Resistance to Helmet Wear

Background: Flatness of the back of the head is the most frequently seen aesthetic skull deficiency. Since the back of the head is laid on or against since early in development during the formative time of skull development, this is not a a surprise. There are many manifestations of flat areas on the back of Read More…

Avoiding the A Frame Deformity in Subnasal Lip Lifts

The subnasal lip lift is the most common surgical lip enhancement procedure. By removing a certain amount of skin from the crease under the nose the vertical distance between the nose and the upper lip is decreased and the cupid’s bow vermilion is increased in size. These effects are accomplished by the placement of the Read More…

Technical Strategies – Lower Eyelid Approach for Placement of Custom Infraorbital-Malar Implants for the High Cheekbone Look

Cheek augmentation in men is distinctly different than that for women. Women often seek to achieve a more anterior cheek fullness with an apple cheek appearance. To achieve that effect oval-shaped cheek implants are placed over the cheekbone with some of the implant off of the bony prominence. Conversely most men seek a cheek augmentation Read More…

Technical Placement Strategies in Custom Large Testicle Implants

Custom testicle implants are, by definition, implants that are both larger in size and composed of ultrasoft solid silicone. Such implants are usually in the size range of 6.0 to 7.5cm in size which are beyond standard sizes only available up to 5.0cms. In placing these larger testicle implants there are multiple technical details to Read More…