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Calf Implant Surgery: Nerve Anatomy, Technique, and Considerations

Implants remain the most definitive and reliable method of calf augmentation. While fat injections may benefit select patients, calf implants consistently provide a more predictable and effective outcome. Like other extremity implants, calf implants are linear in design, with length greater than width, and are placed in a north–south orientation. The incision is favorably positioned Read More…

Cheekbone Reduction Case Study

Background Patients seeking facial width reduction are usually focused on the cheeks, which are typically the widest part of the face. This width is primarily due to the zygomatic arch, which must curve outward to allow the temporal muscle to pass beneath it and attach to the ramus of the lower jaw. To narrow facial Read More…

Ensuring Proper Orientation of Pectoral Implants

Pectoral implants remain the most effective option for male chest enhancement. While fat injections can add volume, they do not replicate true muscle definition. Instead, they often create a rounded, mound-like contour that lacks the masculine shape most patients desire. Because pectoral implants are placed beneath the pectoralis major muscle, they provide a direct augmentation Read More…

Case Study: Dual Brow Bone Reduction Techniques in Forehead Feminization

Background Brow bone reduction is a common component of facial feminization surgery (FFS) for the upper third of the face. Because the forehead is a highly gender-defining feature, many transfeminine patients undergo forehead-brow bone reduction, most often with the Type 3 (bone flap) technique. This approach allows for significant brow bone setback by removing and Read More…

Chin Lengthening Surgery: How Bone Grafting Helps Healing

When the chin is lengthened through a surgical technique called vertical lengthening genioplasty, a small gap is created in the bone. A fixation plate and screws hold the new chin position securely in place and set the amount of lengthening. However, the plate itself does not determine whether the gap fills in with bone over Read More…

Case Study: Limited Type 1 Forehead Reduction in a Male

Background Reduction or reshaping of the brow bones is performed either to achieve a facial feminization effect or to soften an overly masculine forehead appearance. Although the brow bone spans the entire forehead, its thickness and shape vary across the supraorbital ridge. The most noticeable projection typically occurs in the medial half near the glabella Read More…

Female Vertical Chin Lengthening by Bone Expansion – A Case Study

Background The most common dimensional deficiency of the chin is inadequate forward projection, which is often well-corrected with an implant for modest augmentation. While horizontal projection is the most frequently treated deficiency, vertical chin deficiency is often underdiagnosed or overlooked. This is largely because most standard chin implants—except for one specialized type—only address horizontal augmentation. Read More…

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