Blog

Under Eye Hollowing and the “Negative Orbital Vector” Correction Case Example

One of the most common facial concerns patients notice is hollowing or a sunken appearance under the eyes. While this can happen naturally with aging, some people are born with facial bone structure differences that make the under eye area appear more recessed even at a young age. In younger patients, under eye hollowing is Read More…

Perioral Liposuction vs Buccal Lipectomy – What Is The Difference

Perioral liposuction refers to very localized fat removal around the mouth region (“perioral” = around the oral opening). It is not a commonly named standalone cosmetic procedure in the way neck or abdominal liposuction is, but I have performed in hundreds of time by use small-cannula liposuction in selected areas around the lower face to Read More…

Occipital Skull Reduction – Anatomy and Technique

Occipital skull reduction is a cosmetic cranial contouring procedure that reduces the prominence or projection of the back of the skull (the occipital bone). It is typically done for patients who feel the back of their head is overly protrusive, asymmetrical, or disproportionate in profile. Common Reasons for the Procedure Prominent occipital “bump” or bulge Read More…

Custom Facial Implant Materials and Their Aesthetic Effects

Does the effects of custom facial implants change based on the material used? Not really. It is a common misconception that the implant material used will affect the aesthetic result. Most pertinently it is believed that the more rigid the material is the more facial definition it is going to create or the better the Read More…

First Stage Dermal-Fat Grafts for Soft Tissue Restoration in Deltoid implants

Custom deltoid implants can be considered for visible deltoid/shoulder hollowing after shoulder replacement, but they are contour-restoration devices, not functional muscle replacements. Key points: After reverse shoulder arthroplasty, deltoid quality matters because the deltoid becomes the main elevator of the arm. Deltoid atrophy or nerve injury can affect function. A solid silicone custom deltoid implant Read More…

Secondary Clavicle Reduction Osteotomies for an Increased Shoulder Narrowing Effect

Shoulder narrowing surgery by clavicle reduction osteotomies is a procedure with a high satisfaction rate. It works by pulling the shoulder closer to the sternum the same distance of the bone removed from the clavicle on each side. While the procedure has an immediate shoulder narrowing effect the other criteria for success is good bone Read More…

The Effects of Clavicle Reduction Osteotomies for Sboulder Narrowing on the Scapula

The scapula (shoulder blade) is a flat triangular bone that connects the arm to the trunk through muscular and ligamentous attachments. It serves as the mobile platform for shoulder motion. Key anatomical regions include: Spine of scapula Prominent ridge on the posterior surface dividing: supraspinous fossa infraspinous fossa Acromion Extension of the scapular spine Forms Read More…

What Is The Probability Of Hitting My Exact Aesthetic Goal With Custom Forehead Implants

While custom implants for the upper 1/3 of the face are less common than that of the lower 2/3s they are uniquely different because of their larger sizes. But custom forehead implants are also different because their probability of success profile is actually one of the best among facial implants—both technically and aesthetically in my Read More…

What Is The Probability of Hitting My Exact Aesthetic Goal With Custom Orbital Implants

For custom orbital implants (around the eye socket), the accuracy profile is different from jawline and cheeks—it’s actually one of the most precise areas technically, but one of the hardest to match aesthetic expectations. Here’s the realistic breakdown: Probability for orbital implants ? Close match (most outcomes) ~80–90% chance Improved contour, symmetry, or support Read More…

What Is The Probability Of Hitting My Exact Aesthetic Goal With Custom Cheek Implants

The midface, and the cheeks in particular, are a common location for the use of custom facial implants designs tom achieve aesthetic results not obtainable with standard implants. For custom cheek (malar/midface) implants, the probability of hitting your exact aesthetic goal is generally a bit higher than jawline implants—but still not perfectly predictable. Here’s a Read More…