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Plastic Surgery Case Study- Forehead Masculinization Using A Custom Brow Bone Implant Placed Through A Triangulated Incisional Technique

Background: The one primary feature that separates the male forehead from that of the female is the presence of visible brow bone mounds/protrusions. Males have these inferior forehead prominences and the suprabrow break above them that creates this uniquely male forehead shape. Occasionally some females will be seen with brow bone prominences but they are Read More…

Plastic Surgery Case Study – Retro Hairline Incision for Direct Osteoma Removal At The Lateral Temporal Line Of The Forehead

Background: Osteomas are the most common benign bony masses of the forehead. Their fixed firm location with the scalp above to slide back and forth over it confirms the diagnosis and radiographic imaging assessment is not usually needed. Removal of forehead osteomas can be done by direct, hairline or retro hairline approaches. Once into the Read More…

OR Snapshots – Free Floating Rib Angulation in Waistline Narrowing Surgery

Rib removal surgery for aesthetic waistline reduction is based on the premise that the free floating ribs provide support to the lateral waistline. Thus removing them would allow the waistline to collapse/fall inward. This is conceptually true as any diagram, drawing or illustration of the lower end of the rib cage for ribs #11 and Read More…

Plastic Surgery Case Study – Secondary Male Augmentation Rhinoplasty with Rib Grafts

Background: Rhinoplasty is fundamentally about reshaping the structural support of the nose. This can be done for an overall reduction in size or shape, an overall augmentation of the dorsocolumellar support or some combined of both. In reduction rhinoplasty the postoperative adaptation of the enveloping skin has a major role in the result. Conversely in Read More…

The Anatomy and Aesthetic Significance of the Buccal Lipectomy in Facial Reshaping

Buccal fat removal has become extremely popular in the past few years fueled by patient’s desire to have slimmer faces as well as by social media. While the procedure is relatively straightforward to perform there are numerous misconceptions about it from what its exact facial effects really are to what its long term sequelae may Read More…

Design and Placement Concepts of Custom Midface Implants

Augmentation of the midface is a variable term and concept. This could mean a wide range of augmenting the convexities and concavities that make up the central third of the face. Traditionally midface augmentation meant cheek implants. And although there are various styles of cheek implants this means increasing the convexity of the zygomatic major Read More…

The Combination of A Bony Genioplasty and Custom Implants for Total Jawline Augmentation

The custom jawline implant is the most effective method of achieving a total jawline augmentation change. Its surface area coverage through its wrap around design alters all aspects of the face-neck transitional area through soft tissue release and expansion from the implant spacer on the bone. The soft tissue expansion effect of the implant is Read More…

A Comprehensive Multilevel Approach to Soft Tissue Chin Pad Ptosis and Lower Lip Incompetence

Lower lip incompetence, often associated with soft tissue chin pad ptosis (sagging), is a difficult problem to satisfactorily correct. It is often associated with loss of chin pad support from implant removal or intraoral chin bone reduction from shaving or a setback sliding genioplasty. As the chin pad loses its attachment to the bone a Read More…

Techical Strategies – The Supraclavicular Fossa Incision in Shoulder Narrowing Surgery

Shoulder reduction surgery works by accessing the inner third of the clavicle bone and reducing its length by a measured ostectomy. To do this requires an incision over the clavicle, which by one’s own feel, the soft tissue over the bone feels fairly thin. In reality it is much thicker than it feels. Regardless, an Read More…

Plastic Surgery Case Study – Custom Jawline Implants For Correcting Asymmetries/Irregularities After V Line Surgery

Background: V line surgery is a popular form of lower facial reshaping focusing on reducing the size of the lower jaw. It is essentially a removal of the inferior border of the lower jaw from the jaw angles up to the chin. The chin is then reshaped by various forms of t-shaped osteotomies to narrow Read More…