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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…

Reduction of the Dumb Bell-Shaped Sagittal Crest Skull Deformity

The sagittal suture is the connective tissue joint between the two parietal bones of the skull. It is the midline cranial suture that connects the anterior and posterior fontanelle (soft spots) of the infant’s skull. While the fontanelles close quite early in life, the sagittal suture does not close until much later in life if Read More…

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