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Direct Excisional Approach To Superior Helical Rim Lidding

The complexity of the ear shape leads to a wide variety of potential developmental deformities. Even in normal appearing ears, it is rare that both ears are perfectly symmetric in shape. Once type of well known congenital ear deformity is that known as lidding. When it appears in newborns it usually represents when the continuation Read More…

Plastic Surgery Case Study – Male Brow Bone Reduction Without Complete Bone Flap Replacement

Background: Male brow bone reduction almost always requires a bone flap technique for maximal effectiveness. However, it is not the technique of brow bone reduction that is the major consideration in the surgery for men. Rather it is the location of the incision that I find to be the most important consideration which not only Read More…

Technical Strategies – Pedicled Buccal Fat Pad Transfer for Coverage of Compromised Intraoral Incisions Over Jaw Angle Implants

Jaw angle implants, whether they be standard or part of a custom jawline implant design, require an intraoral incision for placement. This incision is way back in the mouth opposite the second or third molars either in the vestibule or slightly up on the cheek mucosa. Lying directly under the incision at some depth from Read More…

OR Snapshots – Parietal Eminence Skull Reduction Using A Direct Vertical Scalp Incision

Reduction of various skull areas can be done throughout the entire external cranial surface. Almost always these are on naturally flatter or curved areas that are seen as too convex or prominent. This can be due to overgrowth in one specific area (e.g., sagittal crest or occipital knob) or of an entire cranial surface. (e.g., Read More…

Technical Strategies – The Geometric Split Technique For Custom Skull Implants

Custom skull implants are the most effective method for aesthetic skull augmentations of all types. Their large surface areas of coverage provide for augmentation effects that blend in well with the surrounding bone for more natural head shape effects. But what also makes custom solid silicone skull implants so appealing is that they can be Read More…

Adaptive Bone Changes from Chin Augmentation By Injectable Fillers

While injectable fillers were initially introduced for their soft tissue augmentation effects, their use has become expanded for facial contouring which often equates to bone augmentation. One common site for injectable facial bone augmentation is the chin. Chin augmentation by injection can be a good option for some patients who seek an immediate non-surgical result Read More…

Plastic Surgery Case Study – Male Brow Bone Reduction Using A Limited Scalp Incisional Approach

Background: While men naturally have more visible brow bones due to an increased frontal sinus development, a few men will develop a larger brow bone protrusion than normal. This can be exacerbated in some by a more sloped forehead that lies above it. There is no specific measurement of how much brow bone protrusion is Read More…

Technical Strategies – The Bilateral Posterior Geometric Split Technique for Custom Jawline Implant Placement

A custom jawline implant offers the most effective and powerful strategy for augmenting the lower third of the face. Designed as a single implant its wrap around effect connects the chin and the jaw angles into a confluent aesthetic effect. Since it is designed as a single implant, it is ideal to place it as Read More…

The Remarkable Healing Of The Bone Flap In Brow Bone Reduction Surgery

Brow bone reduction is a very successful reshaping surgery of the forehead. It is most commonly done in two types of patients, the male with large overgrown brow one protrusions who wants to look more normal and the transgender male to female patient who is interested in a gender appearance change. Despite the disparate aesthetic Read More…

Plastic Surgery Case Study – Secondary Custom Jawline Implant For Jaw Asymmetry Correction

Background: Lower facial or jaw asymmetry is one of the most common forms of facial asymmetry. The projecting nature of the chin/lower jaw, its paired development from the embryonic brachial arches and the relative complexity of the mandibular shape with its various attached soft tissues creates a lot of potential for an asymmetric shape. While Read More…