Blog

Plastic Surgery Case Study – Frontal Hairline Advancement with Frontal Bossing Reduction in the High Female Forehead.

Background: The well known proportions of the face are based on horizontal thirds ratios between the upper, mid- and lower face. The forehead or upper third of the face is the easiest to see and assess because it lacks any features other than the eyebrows at its inferior edge. Thus when the forehead is out Read More…

Plastic Surgery Case Study – Very Long-term Followup of The First Custom Jawline Implant

Background: Over a twenty-five year period I have designed and implanted nearly 1,000 custom skull and facial implants for both reconstructive and aesthetic patients. To no surprise much has been learned about the custom implant design process, surgical implantation and their aesthetic effects as well as management of implant-related complications/revisions over that time period. Not Read More…

Assessing The Effect of the Ogee Curve in Custom Cheek Implant Designs

Ogee is defined generally as a curve. It has been given various descriptions such as an extended S, serpentine or having a sigmoid shape. In particular it is a double curve in which a combination of two semicircular shapes meet centrally in an inverse relationship. The arc of these semicircular shapes can vary widely. When Read More…

Postoperative Instructions – Hip Implants

When augmentation of the hips has been unsuccessful by fat injections or the patient has insufficient fat to harvest, hip implants are the sole alternative. Such hip implants are usually deigned custom for each patient. Placed in a deep subcutaneous pocket on top of the TFL fascia, hip implants are introduced through a small incision Read More…

Facial Masculinization Surgery – Recovery, Risk and Complications and Costs

Facial Masculinization Surgery Recovery The FMS recovery process largely revolves around the amount of swelling that occurs during treatment. Fortunately, the swelling is more of an aesthetic issue rather than a functional issue, meaning that patients recovering from FMS shouldn’t experience any functional limitations. The amount of swelling that occurs is largely down to the Read More…

Facial Masculinization Surgery – Lower Third Reshaping – Neck Reshaping

Tracheal Augmentation A prominent Adam’s apple or thyroid cartilage creates a central neck bulge that is a distinctively male trait. Its reduction, of course, is the one of the most well known facial feminization procedures. Conversely the trachea can be augmented in the FMS patient by a special implant designed to create a more prominent Read More…

Facial Masculinization Surgery – Lower Third Reshaping – Chin and Jawline Augmentation

Chin Augmentation Chin augmentation is the single most important lower-face procedure in FMS. (A prominent chin is a wholly distinct male feature) Chin augmentation is often perceived only in the profile, ignoring the appearance from the front view. So it is important to consider the appearance of the chin from the front view, assessing tired Read More…

Facial Masculinization Surgery – Middle Third Reshaping – Cheek Bone Augmentation and Cheek Fat Removal

Cheek Augmentation Male cheeks typically have more fullness higher on the main body of the cheek bone (zygoma) and back along the tail of the cheekbone (zygomatic arch for more defined and angular cheek highlights. Standard styes of cheek implants are usually not sufficient in FMS as their creation of an ‘apple cheek’ look is associated Read More…

Facial Masculinization Surgery – Middle Third Reshaping – Rhinoplasty

Rhinoplasty is a common facial masculinization procedure given that there are major gender differences in the shape of the nose. A masculine nose typically has a straight or even slightly convex dorsal line in side profile. It also has a nasal tip that is not overly narrow and a nasolabial angle that is at 95 Read More…

Facial Masculinization Surgery – Upper Third Reshaping – Temporal Augmentation and Skull Reshaping

Temporal Augmentation While the natural shape of the temples is slightly concave in both genders, females tend to have increased temporal concavities. Temporal concavities or hollowing are measured by making a straight line from the lateral bony temporal line of the forehead down to the zygomatic arch. The depth of the temporal skin below this Read More…