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OR Snapshots – Removal of Medpor Cheek Implants

Medpor or porous polyethylene is one of the most common facial implant materials used. It is distinguished by having a significant or fierce soft tissue adherence to it. While this poses some challenges to revising or removing such implants, this should not be confused with impossible. A difficult task should not be mistaken for not Read More…

Technical Strategies – Combining Browlifts with Custom Forehead Implants

Upper third of the face augmentation is most successfully done in women by the design and fabrication of a custom forehead implant. Given that most women seek forehead augmentation to create an improved convexity and verticality, often with little to no lower brow bone enhancement, it is important to assess preoperative brow position. Some women Read More…

Technical Strategies – The Placement of Lip Implants

Lip augmentation is most commonly done by injection techniques. While effective lip injections are limited by either the temporary duration of their effects or the unpredictability of injected fat survival. Other materials have been implanted into the lip (dermal grafts/substitutes) but they all suffer similar outcome fates. Despite the limited effects of injectable lip fillers, Read More…

Plastic Surgery Case Study – Custom Midface (Infraorbital-Malar- Pyriform Aperture) Implant Design and Surgical Placement

Background: Adequate augmentation of the deficient midface has historically been in the province of the LeFort osteotomy. While such osteotomies can be done at different levels of the midface depending on the skeletal deficiency, the one constant was the improved occlusal relationship it provided. Malocclusion was the inferior indicator and the hallmark of such midface Read More…

Technical Strategies – Posterior Sagittal Ridge Skull Reduction

The sagittal suture runs down the middle of the skull from the forehead back to the crown area. The deformity of the sagittal suture that is most widely recognized is that of sagittal craniosynotosis. But by far the more common deformity of the sagittal suture, and one that is far more minor than synostosis, is Read More…

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