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Plastic Surgery Case Study – Total Temporal Implant Augmentations Combined with Large Custom Skull Implant for Maximal Head Reshaping

Background: The shape of the head consists of five zones of projection. There is the height superiorly, projection anteriorly (forehead) and posteriorly (back of head) and bilaterally at the sides. (temporal) Differing thicknesses and contours of all of these areas combined create the total head shape appearance. Anthropometric studies of head shape have been extensively Read More…

Plastic Surgery Case Study – Submental Vertical Chin Reduction and Custom Implant Reshaping Through The ‘Mobile Window’

Background: Aesthetic manipulation of the chin can be done using a variety of implant and bone reshaping techniques. Implants provide various dimensions of augmentation. Bone reshaping is more versatile being capable of both horizontal and vertical increases as well as horizontal, vertical and width reductions. In some patients implants and bone reshaping techniques may be Read More…

OR Snapshots – The Color Differences in the Fat Pads Seen in Transconjunctival Lower Blepharoplasty

The eyes are one of the first facial areas that are affected by aging. Excess skin, fullness from fat herniation and skin wrinkles are the typical manifestations of the periocular aging process. Because of the movement differences the upper and lower eyelids present somewhat different aging issues. The upper eyelid, because of its greater movement, Read More…

Plastic Surgery Case Study – Direct Repair of Masseter Muscle Dehiscence after Jaw Angle Implants

Background: While chin implants have been around a long time for increasing projection of the front of the jaw, jaw angle implants have been far less used for augmentation of the back of the jaw. As a result a good understanding of the anatomy and the surgical technique to place them is not as well Read More…

Technical Strategies – Combining Earlobe Reduction with Facelift Surgery

A facelift is the most recognizable facial rejuvenation procedure. While there are numerous versions of the operation a fundamental component of it is the placement of incisions in and around the ear. While these ear incisions provide access for tissue tightening and removal, their closure is also very important for determining the aesthetic outcome. Most Read More…

Plastic Surgery Case Study – 3rd Custom Skull Implant for Female Crown of Head Enlargement

Background: Any form of skull augmentation must consider the stretch of the scalp to accommodate it. The scalp is a naturally tight soft tissue covering as it is stretched over a large hard convex surface and there is no functional purpose in it being loose. Once elevated from its bony attachments across the top of Read More…

Why A Custom Silicone Skull Implant Is Not Like A Silicone Breast Implant

Custom skull implants are the best method for any form of aesthetic skull augmentation. Because they are designed from the patient’s 3D CT scan, they can create the best bony correction of the asymmetric skull or the best implant shape and contours of a desired skull augmentation effect. While there are multiple materials by which Read More…

Plastic Surgery Case Study – Custom Jawline Implant Replacement for Three Standard Chin and Jaw Angle Implants

Background: The historic approach to complete jawline augmentation is with the use of standard styles and sizes of chin and jaw angle implants. This three implant approach can be effective but is prone to asymmetries of implant positioning, an incomplete jawline effect and limitations of shapes and sizes of implants that are commercially available. The Read More…

How Significant Are The Scars From Temporal Artery Ligation?

Temporal artery ligation is a procedure used to reduce the appearance of the visible pathway of the superficial temporal artery onto the forehead. Often described by patients as ‘worms’ or ‘prominent veins’ they are largely an aesthetic male facial concern. While their appearance may be evident normally, they become enlarged when exposed to sunlight, increased Read More…

Plastic Surgery Case Study – Correction of Ear Asymmetry with Left-Sided Upper Macrotia Reduction

Background: The most common ear reshaping procedure is a setback otoplasty for the correction of protruding ears. (technically earlobe repair is the most common ear surgery but this is not an ear reshaping surgery) In an otoplasty the ear generally has good components but is distorted by its protrusive condition. In a much more uncommon Read More…