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Technical Strategies – Vertical Chin Reduction By Double Osteotomy and Bone Removal/Shortening

There are numerous aesthetic chin surgeries which largely differ by the dimensions that are being changed. Chin reduction, just like chin augmentation, can be done in all three dimensions. (decreased horizontal projection, decreased height and decreased width) Such chin reductions are usually multidimensional (e.g., decreased projection and less height) and some even combine a reduction Read More…

The Use of Tranexamic Acid for Subcutaneous Infiltration in Facelift Surgery

The single greatest complication during and after facelift surgery is bleeding. Presurgical infiltration of a lidocaine and epinephrine solution is injected into the facelift incisions and planned undermined skin flaps. This helps to control the amount of bleeding encountered during surgery but its effects are time limited. When it wears off in the immediate postoperative Read More…

OR Snapshots – Perioral Mound Subcutaneous Fat Layer

Like the body the face has numerous fat collections/compartments that lie either right under the skin or within or around deeper structures.  Unlike the body, however, the fat locations in the face are more limited and less easily accessed for removal. The most well known facial fat collection is the buccal fat pad which can Read More…

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