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The Masseter Muscle in Jaw Angle Implants – III. Soft Tissue Contour Correction of Masseteric Muscle Dehsicence

For masseteric muscle dehiscence after jaw angle implant surgery, soft-tissue augmentation can be useful when direct muscle reattachment is not possible, when there is persistent contour deficiency, or when implant coverage is inadequate. The goal is to recreate a soft-tissue envelope between the implant and overlying tissues and reduce visibility or palpability of the implant. Read More…

The Masseter Muscle in Jaw Angle Implants – II. Management of Masseteric Muscle Dehiscence

Masseteric muscle dehiscence after jaw angle implant surgery is more common than is ackowkedged and rarely discussed in the medical literature. But it can create several problems: implant exposure due to lack of adequate full muscle coverage, a step off or soft tissue contour deformity over the gonial angle, an abnormally high muscle bul when Read More…

The Masseter Muscle in Jaw Angle Implants – I. Pre and Intraopertative Considerations

Management of the masseter muscle is one of the key technical issues in placement of isolated jaw angle and wraparound jawline implants. This applies to all implant sized and dimensions but particularly vertical-lengthening or large widening angle implants. It is also pertinent to any jaw angle that has had prior surgery, such as SSROs and Read More…

Rib Removal and Rib Fractures for Waisltine Narrowing Compared

In the context of waist narrowing surgery, rib removal and rib fracture (rib remodeling) techniques are fundamentally different procedures. in how the lower three ribs are treated. As a result it is never that they arrive exactly at the same aesthetic outcome. Why Rib Removal Produces More Permanent and Predictable Narrowing Rib removal (typically portions Read More…

Buccal Lipectomy Complications and How To Avoid Them

The.most common facial defatting procedure, a buccal lipectomy, is seemingly a straight forward and effective procedure. But like all aesthetic surgeries there are downsides and errors with it. Common buccal lipectomy (buccal fat removal) errors can be divided into planning errors and technical surgical errors. Patient Selection Errors These are often the most significant misjudgements. Read More…

Relaxed Skin Tension Lines of the Face and Scar Revision

Patients frequently request revision of scars from traumatic injuries for improvement, The pertinent question is upfront is what is the likelihood that such scar revisions will make it look better or less visible. This answer partially lies in understanding the concept of RSTLs and the scar’s relationship to them. Relaxed skin tension lines (RSTLs) of Read More…

Custom Zygomatic Arch Implant Designs

When designing a custom zygomatic arch implant, the primary goal is usually not projection but controlled lateralization of the arch to create the desired increase in upper facial width while maintaining a natural skeletal contour. Key Design Parameters 1. Amount of Width Increase This is the most important variable. Typical augmentation: 3–5 mm per side: Read More…

Zygomatic Arch Implants – A Unique Facial Augmentation Concept

A zygomatic arch implant is a facial skeletal implant designed to increase the projection and width of the zygomatic arch, which is the bony arch that extends backward from the cheekbone toward the ear. It is a cheek implant but not creating a traditional form of cheek augmentation. Anatomy The cheekbone region consists of: Malar Read More…

Combining Rib Removal and Buttick Augmentation Body Contouring Surgeries

Rib removal (or more commonly partial 10th/11th/12th rib resection for waist narrowing) and buttock augmentation can be combined in a single operation, but whether it is advisable depends on the specific buttock procedure and the patient’s anatomy, operative time, and risk profile. Key considerations: Positioning: Rib resection is usually performed with the patient prone or Read More…

Combining Shoulder Narrowing and Rib Removal Body Contouring Surgeries

Can shoulder narrowing and rib removal body contouring surgeries be done at the same time…and what would the recovery be like? Yes, shoulder reduction (clavicle shortening) surgery and rib removal/waist narrowing surgery can technically be performed during the same operation, but it is generally considered a demanding combination with a more difficult recovery than Read More…