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Plastic Surgery Case Study – Custom Chin Implant for Asymmetry: A 45 Degree Augmentation Effect and a More Square Shape

Background: Chin implants are a common facial augmentation that can be very effective for the properly selected patient. They work best for modest to moderate chin deficiencies that are largely horizontal in dimension (inadequate projection) with no significant asymmetries in the chin or jawline bone. Where patients and surgeons get into aesthetic difficulties is when Read More…

Plastic Surgery Case Study – Custom Skull Implant for Congenital Flat Back of the Head for Projection Contour Improvement

Background: The flat back of head is a result of inadequate projection of the occipital-parietal bones. The lower half of the visible back of the head is the location of the upper half of the occipital bone. (the lower half of the occipital bone is below the thick neck muscles) The upper half of the Read More…

Plastic Surgery Case Study – Type 4 Temporal Reductions for Maximal Head Width Reduction

Background: The aesthetically wide head is typically seen as a pronounced convexity in the temporal regions of the skull. While much of the skull is compromised of bone under the scalp, the temporal regions which make up the sides of the head are unique in that regard. While there is temporal bone a significant part Read More…

The Cup Test for Back of Head Augmentations with Custom Implants

The skull can be thought of simplistically as the connection of 5 convex surfaces (front, top, back and two sides) into an oblong curved shape. (normocephaly) Each of the five surfaces has varying degrees of convexity but none of its surfaces are flat. The back of the head has a fair amount of convexity and Read More…

Plastic Surgery Case Study – Custom Cheek and Jawline Implants for V Line and Cheekbone Reduction Reversals

Background: V line and cheekbone reduction surgeries today are well known facial reduction/reshaping procedures. They have their origins in Asia where they are commonly performed and is very popular amongst young patients. But just like facial implant augmentations where the result can be seen to be too much, facial bone reductions can also end up Read More…

Plastic Surgery Case Study – Shoulder Narrowing Surgery with the Use of Double Plates

Background: The clavicle bone has far more complex morphologic features that is usually perceived. It is the only long bone in the body, meaning a bone that is longer than it is wide, that has a horizontal orientation. I have rBesides being a non-straight curvilinear bone with two curved ends its thickness varies along its Read More…

Technical Strategies – Combining Buccinator Myectomies and Perioral Liposuction in Lower Cheek Soft Tissue Contouring

Reshaping of the soft tissue of the cheek for a less full or thinner facal appearance has long been the promise of the buccal lipectomy procedure. While effective for some patients the procedure is often misused with the belief that will it affect the entire cheek/midface region from the bony cheeks down to the jawline. Read More…

Plastic Surgery Case Study – Combined Custom Chin Implant with Buccal Lipectomies

Background: The chin implant is the original surgical method of facial bone augmentation and still the most commonly performed. Its history is reflected in the many styles and sizes of chin implants that are commercially available. Given the frequency of which the procedure is requested and performed it is no surprise that implant options have Read More…

Technical Strategies – The Double Comb Technique for Scalp Incision Closures in Aesthetic Skull Reshaping Surgery

Skull surgery of any form is associated with the necessity of the need for an overlying scalp incision. Of course the length of that scalp incision depends on what is being done to the skull. A component of the scalp incision is what to do with the hair, provided the patient has some or a Read More…

Plastic Surgery Case Study – The Common Unintentional Two Stage Jaw Augmentation Approach (Chin Implant to Custom Jawline Implant)

Background: Chin implants have been and still are the most common form of aesthetic facial implant augmentation. Because of its placement on the most projecting part of the lower face, which creates a distinct transition from the neck below it, it has been stated that is a facial procedure that has the highest aesthetic value. Read More…