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Basic Concepts in Jaw Angle Implant Surgery – 1. Introduction and Aesthetic Considerations

Facial reshaping with alloplastic implants is a dynamic and growing area of facial plastic surgery. Driven by the recent increasing demand for injectable synthetic fillers and fat, facial implants offer a long-term solution for facial contouring that includes rejuvenation, congenital or traumatic deformities, or aesthetic facial reshaping for enhanced facial convexity or refinement. However, the Read More…

Plastic Surgery Case Study – Horizontal Waistline Reduction in Type 1 Rib Removal Patients

Background: The concept of ribs being removed for a slimmer waist is always a controversial subject on the surface. The perception of what the surgery is and how it is done and works is almost always misunderstood. The name ‘rib removal’ is an inaccurate description of it and further leads to these misunderstandings. Unless the Read More…

Plastic Surgery Case Study – Custom Temporal Implants for a Head Widening Effect to Complement Prior Midface and Lower Facial Augmentations

Background: The face is well known to be divided into aesthetic thirds. This aesthetic concept is important in both frontal and side views but with different dimensional effects. A lesser appreciated proportional measurement is that of facial fifths in the frontal view which relates to various transverse and vertical relationships. From this perspective the outer Read More…

Current Concepts in Chin Ptosis Correction

Sagging soft tissues of the chin, also known as a witch’s chin deformity or chin ptosis, is the result of a loss of attachments. One cause is that of aging, particularly in the person who wears dentures, where the jawbone has resorbed down to the point of loss of the upper mentalis muscle attachments. In Read More…

Current Techniques in Forehead Reduction

The shape of the forehead is affected by various hard and soft tissue components. The forehead is framed by the hairline superiorly, the brows inferiorly and the bony temporal lines to the sides. The projection of the forehead is controlled by the thickness of the frontal bone and its degree of convexity and smoothness. The Read More…

Current Concepts in Horizontal and Vertical Chin Reduction

Chin reduction, while less commonly performed than chin augmentation, is also an important form of chin reshaping surgery that can improve one’s profile. It involves changing the size and possibly the shape of the chin in order to make it appear smaller. It is far more commonly performed in females than in men. It is Read More…

Plastic Surgery Case Study – Third and Final Chin Implant Augmentation in Severe Chin Recession

Background: Chin augmentation has been done with a variety of implant and graft materials for almost seventy-five (75) years. Like most chin implants done today silicone was the original synthetic material used although it was quite different. Rather than being a solid silicone material it was a gel-filled implant with a similar concept as that Read More…

Technical Strategies – Glabellar Muscle Resection with Fat Grafting Through Upper Blepharoplasty Incisions

One of the most common facial lines that are formed with aging due to repetitive muscle activity are the vertical glabellar lines. These are vertical skin creases that develop in between the eyebrows and are classically called the ‘11s’ because most people will develop a symmetrically pair of them. While this is the most common Read More…

The Aesthetic Effects of Blended (Extreme) Chin Augmentation

The classic debate, and sometimes an actual controversy, is whether chin augmentation is best done with an implant or by moving the chin bone. While patients and surgeons often try and compare them by their level of invasiveness, that is really an irrelevant and short-sighted thought process to that decision. That discussion more likely emanates Read More…

Plastic Surgery Case Study – Treating Dermal Show from Dermal-Fat Grafting of the Deep Labiomental Fold

Background: The labiomental fold is a normal topographic feature of almost all chins. It is the crease or fold that occurs below the lower lip about one-third of the way down along the vertical length of the chin. While its presence is synonymous with the bony origin of the mentalis muscle, ts depth and visibility Read More…