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Plastic Surgery Case Study – Corticocancellous Chip Grafting of the Bony Step Deformity of the Sliding Genioplasty

Background: The well known sliding genioplasty can create multiple aesthetic dimensional changes of the chin. Most commonly horizontal advancements are done with or without some vertical height changes. While very effective at horizontal advancements it does result in an abnormal contour to the bone. (step-off) The larger the horizontal advancement the more significant this contour Read More…

Plastic Surgery Case Study – Ear Reshaping with Vertical Height Reduction Combined with Conchal Setback

Background: Aesthetic ear reshaping is most commonly perceived as the reduction of prominent ears. And while a setback otoplasty may be one of the most common aesthetic ear surgeries it is far from the only one. The convoluted shape of the large ear cartilage and the inferior hanging cartilage-free earlobe make for a variety of Read More…

Plastic Surgery Case Study – Corner of Mouth Lifts Combined With Lip Fat Injections for a Complete Lip Rejuvenation Effect

Background: The lips can be affected by several shape features that have either occurred naturally or are the result of aging. One undesirable aspect of the lips is when their corners turn down. While often developing as a result of aging being weighed down by falling facial tissues, some people have it naturally. Lip volume Read More…

Plastic Surgery Case Study – Standard Silicone Testicle Implants for Scrotal Symmetry

Background: An absent testicle in an adult can be the result of various causes. It can either have never formed, was undescended from the abdominal cavity during development or was lost after birth due to trauma or a tumor. All of these are well known to occur with the most reason common being it was Read More…

Rib Removal in Waist Narrowing Surgery and The Misconception of Loss of Organ Protection

Rib removal surgery in the properly selected patient can remove the last anatomic barriers to inward reshaping of the sides of the waistline. While the name rib removal is what the surgery is called it actually consists of three specific tissue reduction strategies, fat removal (flank liposuction), muscle modification (lateral latissimus dorsi muscle removal) and Read More…

Plastic Surgery Case Study – TMJ Ankylosis Release with Intracapsular Fat Graft

Background: The temporomandibular joint (TMJ) creates the articulation with the only moveable bone of the face. (lower jaw) It is responsible for allowing one to be able to open their mouth whose extent is most evident in the distance between the upper and lower front teeth. (interincisal distance) Like all joints it is composed of Read More…

Facelift Techniques in the Bald or Shaved Head Male

Facelift surgery involves numerous technical maneuvers that influence both its immediate and long-term results. Much focus over the years has been on manipulation of the SMAS layer under the skin and many variations of its dissection and fixation have been described. But one of the core principles of facelift surgery is the placement of incisions Read More…

Plastic Surgery Case Study – Custom Jawline Implant for Aestheic Lower Facial Asymmetry

Background: Facial asymmetry is common and not surprising given the complex embryologic development of the face. It occurs in a tremendously diverse range of presentations of which the vast majority causes more aesthetic concerns than functional issues. While it is commonly said that every face has some degree of asymmetry and this is normal that Read More…

The Use of PDS Plates in Asian Rhinoplasty

The use of cartilage grafts is essential in many types of nose surgeries of which Asian rhinoplasty is a prime example. With smaller nasal frameworks and tighter enveloping skin, substantial augmentation efforts are often needed. Cartilage grafts are preferred and rib grafts are the most common autologous harvest site. But not every patient wants a Read More…

Clinical Experience with Full and Modified Abdominal Etching Liposuction

The general approach used for liposuction is much like reducing a mountain to a less convex or flatter shape. The goal is to remove fat in a manner that results in a smooth outer surface across the area being treated with a shape consistent to the body area being treated. For most body areas this Read More…