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The Buccal Lipectomy and Perioral Liposuction Combined Midface Slimming Approach

Changing the shape of the face is largely done by altering the bony framework that supports it. Whether it be by augmentation or reduction methods, facial reshaping surgery modifies the structural support of the face onto which the soft tissues drape over and around. There are soft tissue facial reshaping procedures as well which, beyond Read More…

Plastic Surgery Case Study – Midline Back Approach for Rib Removal Waistline Reduction Surgery

Background: Waistline narrowing is most commonly done through standard body contouring methods such as liposuction and tummy tuck muscle plication techniques. But when those surgical maneuvers are unable to achieve the patient’s goals or they are not a candidate for them due to a lean body frame, then more advanced techniques such as rib removal Read More…

The Equilateral Triangle Concept in Custom Jawline Implant Design

The shape of the natural jawline has many components which are primarily influenced by its three corners. (chin and jaw angles) Each corner has three dimensions and when all put together, including how they connect, determines what the final shape of the lower third of the face is. The same dimensional considerations applies to the Read More…

OR Snapshots – Nostril Reshaping by Combined Width and Length Reduction

The width of the nostrils is the only soft tissue aspect of the nose that can be surgically altered through tissue removal. The base of the nostril contains neither cartilage or bone. It has only fibrofatty tissue and skin. This is unlike all other rhinoplasty maneuvers that add or subtract tissue rom the existing osteocartilaginous Read More…

Technical Strategies – Infra Eyebrow Approach to Brow Bone Reduction

Brow bone reduction for prominent supraorbital ridges is done in both men and women. The standard approach is from a scalp access whether that is done from a coronal or frontal hairline incision. By exposing the entire forehead and brow bones through forehead flap turn down, burring or bone flap reduction techniques can be used. Read More…

Plastic Surgery Case Study – Custom Forehead-Skull Implant for Female Forehead Augmentation

Background: The shape of the female forehead has some different features than that of a male. It has more of a vertical inclination and a rounder and more convex shape from side to side. There is usually no discernible brow bone break due to having smaller frontal sinuses. In contrast a male has slightly more Read More…

The Custom Jawline Implant Recovery Process – When Do I See The Final Result?

A custom jawline implant is the most powerful changer of the lower third of the face from an augmentation standpoint. By expanding the entire inferolateral contour of the mandible, it provides a three-dimensional change. But with this change comes the necessity of a postoperative recovery period which involves swelling and a period of time before Read More…

Plastic Surgery Case Study – The One-Piece Bone Flap Technique in Male Brow Bone Reduction

Background: The frontal sinuses are responsible for the shape of the brow bones. Men have larger frontal sinus cavities and hence more prominent brow bones. While some may think that the brow bones are solid bone they are actually just an expanded air cavity with a covering of bone that is only several millimeters thick. Read More…

Plastic Surgery Case Study – Custom Brow Bone Implants for Male Upper Facial Masculinization

Background: The features that make a man’s face distinct are the three bony levels of the brow bones, cheeks and chin/jawline. These are the three lines of facial convexities whose degree varies amongst different individuals. While there are many variables that go into these three facial levels as t how they look and there are Read More…

OR Snapshots – Eyelid Incisions for Custom Brow Bone Implant Placement

Augmentation of the brow ridges can be done by a variety of techniques. Injectable fillers is the non-surgical approach and, while it can be effective, their effects will be temporary. Fat injections offer a minimally invasive surgical method but how well the fat survives and whether it will be smooth is unpredictable. While both injectable Read More…