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Plastic Surgery Case Study – Replacement of Standard Cheek Implants with Custom Cheek Implants in a Male Who Seeks a High Cheekbone Look

Background: Cheek augmentation with implants has been around for over fifty years. While these implants have undergone various shape changes and are available in different materials over this time period, the most common cheek implant styles are oval in shape and are designed to augment the main zygomatic body. This creates an anterior cheek fullness Read More…

Technical Strategies – Secondary Submental Reduction of the Over Projecting Sliding Genioplasty

The sliding genioplasty is a well known chin augmentation procedure that achieves its effect without an implant. By moving the bony front end of the lower jaw the soft tissue chin pad is pushed forward increasing the projection of the lower face. While the sliding genioplasty has virtually none of the potential complications of an Read More…

Technical Strategies – Antibiotic Impregnation of Custom Skull Implants Using Perfusion Holes

Custom skull implants have proven to be the superior method for any form of aesthetic skull augmentation. Being able to preoperatively design an implant based on the patient’s 3D CT scan providesthe best chance to achieve a smooth and an effective augmentation result. The preformed implant also allows the smallest possible scalp incision and scar Read More…

Plastic Surgery Case Study – Long Term Outcome from Female Frontal Hairline Advancement (Vertical Forehead Reduction)

Background: Forehead reductions can consist of bony and soft tissue procedures. When vertical forehead reduction is desired this implies that the length of the forehead is too high. The number 6.5cms of vertical forehead length is often quoted as being the upper aesthetic limit of forehead length for females. To shorten this distance a frontal Read More…

Plastic Surgery Case Study – Male Asymmetric Forehead Horn Reductions (Upper Forehead Contouring)

Background: The forehead is prone to contour irregularities from depressions to protrusions. In the upper forehead the most common contour deformity is that of forehead horns. It has this name because it typically occurs as paired circular protrusions. Their origins are developmental as the forehead develops from a pair of frontal eminences (tuber frontale) which Read More…

Technical Strategies – Placement of Extended Tear Trough Implants for Infraorbital Hollows

Tear troughs and undereye hollows are some of the most common periorbital aesthetic deformities. While they are located in the lower eyelid region they are not necessarily the same. Tear trough are typically described as discrete indentations located more at the medial orbital rim area and are the result of aging or tissue thinning creating Read More…

Plastic Surgery Case Study – Custom Skull Strip Implants for Linear Parasagittal Indentations

Background: The general shape of the skull is that of a convex sphere with various arcs to these convexities at different areas. It is also largely a smooth surface so elevated and depressed areas can be easily felt and in many cases seen. Indentations of the skull’s surface can occur at a variety of areas, Read More…

Plastic Surgery Case Study – The Plagiocephalic Custom Skull Implant For Correction of the Flat Back of the Head

Background: Plagiocephaly is a well known congenital head shape abnormality that affects the entire skull. This global affect is why it is known as the twisted or oblique head shape. But the most severely affected area is usually the back of the head with the greatest oblique flattening effect. It is always the number #1 Read More…

OR Snapshots – Subnasal Lip Lift with Lateral Vermilion Advancements

The long upper lip is seen as a sign of aging or facial disproportion. It is rarely perceived that a long upper lip is a flattering facial feature. Some people have a naturally longer lip, as judged by the distance between the nose and the cupid’s bow region of the lip, while others have seen Read More…

Technical Strategies – The Placement of Extended Temporal Implants for Hollowing In Conjunction with Hairline Browlifting and/or Frontal Hairline Advancements

Temporal hollowing is a common sequelae of aging particularly in the thin female. While the actual temporal muscle does not shrink significantly with aging, the temporal fat pads do. Thin females do not have sizable temporal fat pads initially and whatever is there may largely shrink with age. The most common treatment for temporal hollowing Read More…