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Outcomes for Rib Removal Surgery for Waist Reshaping

Having performed more than one hundred rib-removal surgeries for body contouring over the past decade—encompassing nearly 400 individual rib modifications—I am frequently asked about the waist-narrowing effects of this procedure, particularly as they relate to one of the most well-known patients in the world to undergo it: Pixie Fox. More specifically, patients often ask whether Read More…

Male vs Female Cheek Implant Augmentation – Aesthetic Shape Differences

While a variety of off-the-shelf cheek implants are available, none of them provide any guidance about gender specificity. This is unfortunate, as like all facial augmentations, few are non-gender specific or non-binary in nature. Yet this is how most surgeons approach cheek augmentation… locked into choosing whatever is in the catalog believing or hoping that Read More…

Custom Cheek Implants and Zygmatic Arch Augmentation

The zygomatic arch is a key structural and aesthetic component of the midface. In cheek augmentation, it influences width, contour, and facial balance—distinct from the forward projection created at the malar eminence. 1. Anatomical foundation Formed by the zygomatic bone and temporal bone Defines the lateral cheek contour and contributes to facial width Serves as Read More…

Scalp Roll Excision: Preoperative Marking Guidelines and Surgical Technique

Scalp roll excision is designed to remove a redundant fold (“roll”) of skin along the posterior scalp or upper neck, most commonly in the occipital region. These folds may present as single, double, or—less commonly—triple rolls. Successful elimination of the rolls and restoration of a smooth posterior head contour depends primarily on accurate preoperative markings. Read More…

Female Forehead Implant Augmentation Concepts

Ideal Female Forehead Contour Side-profile: Smooth, slightly convex curvature Soft brow transition Balanced projection (no bulge) Aesthetic Concept: Curvature, softness, and continuity Augmentation Method Comparisons Fat Grafting Shallow soft-tissue fill Achieves surface refinement Bone Cement Rigid onlay over bone Achieves structural contour change Custom Implant Pre-shaped implant fixed to bone Offers precise shape creation Custom Read More…

Female Custom Forehead Implant Augmentation Case Study

Introduction Female forehead augmentation is designed to enhance a forehead that is flat, concave, irregular, or under-projected by creating a smooth, gently convex, feminine contour. Unlike forehead feminization surgery (FFS), which primarily reduces or sets back bone, forehead augmentation adds volume to refine shape and curvature. The goal is not exaggeration, but subtle refinement. In Read More…

Double Occipital Scalp Roll Excision Case Study

Introduction Scalp roll excision is a minor surgical procedure used to remove a redundant fold or “roll” of skin at the back of the scalp or upper neck—most commonly in the occipital/posterior neck area. What it treats Prominent horizontal scalp or neck rolls Skin redundancy after weight loss Excess tissue following prior neck or scalp Read More…

Forehead Horn Reduction Case Study

Introduction Forehead horn reduction is a surgical contouring procedure designed to reduce a localized bony prominence of the frontal bone that can resemble a horn or knob. These prominences have a very characteristic location in the upper lateral region of the forehead and most commonly appear bilaterally. Patients typically seek treatment for cosmetic reasons, particularly Read More…

Subcostal Rib Flare: Evaluation and Surgical Correction

Introduction Subcostal rib flare refers to a visible or palpable outward angulation of the lower ribs—typically ribs 7 through 10—along the subcostal margin where the rib cage meets the upper abdomen. It is most commonly perceived as a protrusion beneath the chest, particularly when viewed from the front or side. Clinical Appearance Patients often describe Read More…

Composite Jaw Augmentation – Frequently Asked Questions (FAQ)

What is a composite jaw augmentation? A composite jaw augmentation is an advanced facial skeletal procedure that combines a sliding genioplasty (chin bone repositioning) with a custom-designed jawline implant. Together, these techniques improve chin projection, jawline length, width, and overall lower facial definition in a single, coordinated surgical plan. What is a sliding genioplasty? A Read More…