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Technical Strategies – Intraoral Placement of ePTFE Premaxillary Implants

The premaxilla is anatomically the piece of bone at the very end of the upper jaw. It contains the anterior incisor teeth which is why it is also called the incisive bone. It is embryologically distinct from the maxilla and is separated from it by a suture early in life. Aesthetically the projection of the Read More…

Technical Strategies – Creating The High Cheekbone Look Using Standard Implants

Cheek implants have been around for over fifty years and have obviously evolved in their designs since then. Once almost exclusively used for female facial enhancement, more and more men today are interested in how they can enhance their midface as well. But as one might imagine there are gender differences in cheek shape and Read More…

Technical Strategies – Intraoperative Fabrication of a True Female Chin Implant

The general concept of the ‘female chin implant’ is one that provides a more feminine lower third facial appearance. This typically means providing horizontal augmentation in the recessive appearing chin but no additional width when seen from the frontal view. In some females that may even desire a more narrow or tapered chin in the Read More…

Plastic Surgery Case Study – Custom Skull Implant For Flat Back of Head in Plagiocephaly

Background: Occipital plagiocephaly is the flattening that is seen on the back of one side of the head. It occurs more frequently on the right side of the back of the head than the left for reasons unknown in my experience. Since it is part of an overall cranioscoliosis the flattening effect can extend much Read More…

Technical Strategies – The Tunnel Technique in Sagittal Ridge Skull Reduction

One of the more common aesthetic skull reshaping procedures is that of the sagittal ridge or crest. This is a raised area of midline bone that occurs due to a thickened sagittal suture line. It almost always starts posteriorly and extends a variable distance forward. Most of the time its height decreases back to normal Read More…

Technical Strategies – The Submental Approach to Vertical Bony Chin Reduction

Chin reduction can be done in a variety of dimensions. What those dimensions are determines whether an intraoral or extra oral (submental) technique is used. Besides the bone dimensions consideration must also be given to how the enveloping soft tissues will respond to the reduction in bony support. One of the most interesting dimensions in Read More…

Facial Feminization Surgery Successfully Changes Public Perception of Gender Identification

Facial feminization surgery (FFS) has become a well recognized approach to changing the male face to a more feminine appearance. FFS is a collection of procedures of facial reshaping procedures for which each patient may receive some but not all of the surgical options available. While the procedures have been well described it is presumed Read More…

Plastic Surgery Case Study – Male Dumbbell-Shaped Forehead Horn Reduction

Background: The forehead is a non-conspicuous surface area other then the eyebrows. Between the frontal hairline and the eyebrows the forehead does not usually have any distinguishing features on its underlying bony surface. Eventually with age horizontal and vertical wrinkle lines will develop but these are soft tissue changes. Bumps on the forehead are particularly Read More…

Plastic Surgery Case Study – Female Tapered Chin Implant Augmentation

Background: Chin implant augmentation is the most common form of facial bone reshaping done. While it was the first type of facial implant procedure ever done, it still remains as the most commonly recognized and performed. While it is requested by both men and women, there is probably a larger number done in men. This Read More…

Technical Strategies – Double Screw Fixation of Female Jaw Angle Implants

Jaw angle implants have become more common as the appreciation of the jawline behind the chin has become more aesthetically appreciated. While this is very popular amongst men where stronger jawlines have always been valued, it is has become popular amongst women as well today. A stronger jawline in a woman has a different look Read More…