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Aesthetic Implant Augmentation Of The Vastus Medialis Muscle of the Thigh

The most common leg muscle that is augmented for aesthetic purposes are the calfs. (gastrocs) Calf implants have been used for decades and are a very successful body implant procedure. In more recent times the upper leg has been periodically implanted as well to augment either the rectus femoris or the combined rectus femoris-vastus laterals Read More…

Technical Strategies – The Three Piece Slotted Design for Larger Custom Jawline Implant Placements

While most patients understandably are enamored with the design and surface area coverage of a custom jawline implant, one aspect of it that is not obvious is its placement during surgery. How can such a large implant be placed through small incisions that heal well and create no obvious aesthetic tradeoffs? One approach that diminishes Read More…

The Anatomic Basis For Temporal Muscle Excision in Head Width Reduction Surgery

Decreasing the width or excessive convexity of the side of the head is performed by a procedure known as temporal reduction. This is an operation in which the full thickness of the posterior temporal muscle belly is removed. This is done through an incision placed in the crease of the back of the ear (postauricular Read More…

Plastic Surgery Case Study – Secondary Custom Jaw Angle Implant in Facial Asymmetry

Background: While facial asymmetry is common and often viewed as a favorable personal trait, this is only true in more minor forms of it. In more significant facial asymmetries such a favorable feeling about it is never shared by the patient. Of course the interpretation of what constitutes minor vs more significant facial asymmetries is Read More…

Plastic Surgery Case Study – Back Of Head Reshaping With Occipital Knob Reduction and Custom Skull Implant

Background: The back of the head is comprised of two main skull bones, the occipital and the parietal bones. Together they are responsible for its overall shape which, like much of the rest of the skull, has a certain amount of convex shape to it. It is not a part of the skull that has Read More…

Technical Strategies – Minimal Incision Approach for Silicone Chin Implants

Chin implants can be placed through two types of anterior lower facial incisions. The ‘northern’ option is to place it from above using an intraoral vestibular incision behind the upper lip. The ‘southern’ option is to place it from below using a submental skin incision. Both approaches access the chin bone and both incise through Read More…

Plastic Surgery Case Study – Custom Jaw Angle Implants After A Chin Implant For A Complete Jawline Augmentation Effect

Background: Chin implants are the most common type of surgical facial augmentation. They can be performed as a solitary procedure but are equally done as part of other aesthetic facial changes as well. In mild cases of microgenia (small chin) augmentation of the front end of the lower jaw produces a completely satisfying result. But Read More…

Anatomy and Technique of Skull Bump and Osteoma Removal

There are many different types of aesthetic skull reshaping surgery ranging from minor deformities to major augmentations and reduction. The most minor form of skull reshaping is reduction of a bump or high spot. Often mistakenly call osteomas, skull bumps are usually developmental and have no history of trauma. While most commonly occurring in isolation, Read More…

OR Snapshots – Nostril Narrowing in Rhinoplasty

Rhinoplasty surgery almost exclusively revolves around manipulation of its osteocartilaginous support framework. It is a true facial reshaping procedure whose result ultimately depends on the combination of how the support structure is altered and how the overlying skin shrinks down around it to reveal those changes. The one exception in rhinoplasty in which bone and Read More…

Plastic Surgery case Study – Placement of Extensive Custom Forehead-Brow Bone-Infraorbital-Malar-Premaxillary-Paranasal Implants Using A Geometric Connection Design

Background: Lack of adequate facial projection is a common aesthetic problem that can affects all three levels of the face (facial thirds), often occurring in more than one level in the same patient. The most recognized and treated facial third deficiency is the lower one as commonly seen in a weak chin. It is also Read More…