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Plastic Surgery Case Study – The Staged Approach to Shoulder Narrowing Surgery

Background: Shoulder narrowing surgery by clavicle reduction osteotomies is an effective treatment for shoulder dysphoria but poses a unique recovery process. Unlike a clavicle fracture in which only one side is injured in shoulder narrowing surgery both sides are affected. This poses significant early after surgery arm restriction movements for the first few weeks after Read More…

Plastic Surgery Case Study – XL Custom Male Pectoral Implants

Background: Pectoral implants are the definitive male chest augmentation method. While fat injections may have a role in some minor chest augmentations implants are required for major chest enhancements. For the vast majority of men the use of standard pectoral implant sizes are adequate. Even for the patient seeking a very robust augmentation the PowerFlex Read More…

The Supraclavicular Nerve in Shoulder Narrowing Surgery

One of the unmentioned sequelae of shoulder narrowing surgery is temporary numbness of the upper chest. Since shoulder narrowing is a bilateral procedure such numbness on both sides of the upper chest is common. Although it causes no functional issues and usually slowly resolves a few months after the surgery an anatomic explanation is helpful Read More…

The importance of Implant Size in Testicular Enhancement

Testicular enhancement refers to making the existing size of the testicles larger. The testicles remain in place but their size appears bigger. There are multiple aesthetic procedures to try and achieve this effect from injectable materials to implants. While implants produce the most consistent and assured effect there are two methods to do so. The Read More…

Complication Rates in Transfemale Breast Augmentation

Breast augmentation is one of numerous body contouring options that transfemales may undergo on their transformation journey. While many may assume that this is a surgery that every transfemale undergoes that has not been my observation. But for those that do they have the same potential risks and complications in getting breast implants that cis-females Read More…

Assessment of The Bony Nasal Base for Paranasal Augmentation

One of the most aesthetic augmentations in the face due to a natural genetic shape is the midface in Asians. Lack of forward development of the nasal base (pyriform aperture) is common in such patients, and while paranasal augmentation was once reserved for an adjunctive procedure in rhinoplasty, it is now often done as a Read More…

Technical Strategies – Direct Submental Defatting

Liposuction under the chin (submental) and into the neck is a common enhancement procedure done below the jawline. While it can be a stand alone procedure it is most commonly performed as an ancillary procedure with other regional surgeries such as chin and jawline implants. While the main effect may come from the bone enhancement Read More…

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