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Custom Facial Implants – I. Introduction and Overview

The Need and Benefits of Custom Facial Implant Designs The number and types of off-the-shelf facial implants styles and sizes has expanded  over the past twenty  years to address patient’s expanding aesthetic desires. Along with increased implant options the different types of materials used to make them has also increased. Besides changing facial beauty standards, Read More…

The Tom Brady Chin Dimple Procedure

I had a patient in the distant past that wanted a procedure to give him ‘Tom Brady’s chin dimple’. In considering such a procedural request the fundamental question is why do chin dimples occur? What is their anatomic makeup? First chin dimples must be differentiated from chin clefts. A dimple is a circular indentation of Read More…

Can Custom Facial Implants Break Or Become Displaced By Trauma?

One of the very common questions patients ask about facial implants, and in particular custom implants, is what will happen to them if they are exposed to external trauma. With the implant fracture, become displaced or even make the bone more susceptible to being fractured? Most of these questions are based on potential sports-related trauma Read More…

The Dermal Anchor Technique in Otoplasty for Protruding Ear Correction

In the correction of the protruding ear numerous techniques have evolved over the years, all of which claim to produce good or improved ear shapes or less rates of relapse. Which each of these otoplasty techniques have a role in certain patients, good results are claimed with minimalist approaches to very aggressive cartilage reshaping techniques. Read More…

A Progressive Tip Suturing Technique in Open Rhinoplasty

Of all the areas of the nose to be changed in rhinoplasty surgery, the tip  is the most complex both structurally and technique wise. Fortunately it is also the most visible during an open rhinoplasty and this provides the opportunity to make multiple changes and at least see their partial effects with immediate nasal skin Read More…

The Transpalpebral Approach in Brow Bone Reshaping and Browlift Surgery

Aesthetic upper eyelid surgery is primarily associated with the blepharoplasty procedure due to it being commonly performed. Whether for the removal of excessive upper eyelid tissues, the correction of a low hanging eyelid (ptosis repair) or the creation of a double eyelid, the supratarsal crease line is largely used for direct surgical access to perform Read More…

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