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Occipital Skull Reduction – Reducing the Protusion on the Back of the Head

Skull reduction is an effective head reshaping procedure for the properly selected patient. It is based on removing part or all of the outer cranial table down to or just stopping short of the underlying diploic space. Because that leaves the inner cranial table it is a safe procedure that has no risk of intracranial Read More…

Custom Facial Implants after Orthognathic Surgery

Orthognathic surgery produces significant facial skeletal changes and bite correction. For many patients who undergo orthognathic surgery that operation addresses all of their facial concerns and no further surgery is required. But by the nature of where and how the maxillary and mandibular osteotomies are done, contour irregularities along the jawline can occur as well Read More…

Plastic Surgery Case Study – The Value of Chin Augmentation in Facelift Surgery

Background: Aging of the face occur in a variety of ways and ultimately affects every facial structure. But not every facial structure is affected equally or at the same time. While it is true that the very earliest signs of facial aging occur around the eyes, changes along the jawline and neck are often not Read More…

Technical Strategies – 3D Modeling in Jaw Cyst Reconstruction

Cysts of the lower jaw can be benign or malignant. But despite the pathology differences they all can cause expansile changes in the bone. When large enough they expand the outer and inner cortical plates of the lower jaw, either pushing out the cortical plates or destroying it in the process. While such jaw cysts Read More…

Experience and Results of a Cheek Dimpleplasty Technique

Cheek dimples are well known aesthetic features of the midface. Some people who do not have them regard them as aesthetically desirable while others who have them would like to have them removed. When naturally present anatomic studies have shown that cheek dimples occur as a result of a defect in the zygomaticus muscle. This Read More…

Plastic Surgery Case Study – Early Recovery after Facelift Surgery

Background: A facelift is one of the most recognizable cosmetic surgery procedures in all of plastic surgery. Despite its familiarity to the public, it is a procedure that has a lot of misconceptions about it. One of the most common is the extent of facial involvememt. Often perceived as involving the full face, a facelift Read More…

Plastic Surgery Case Study – Posterior Fontanelle Skull Defect Reconstruction

Background: Congenital skull defects occur in a wide variety of presentations. In essence it is any contour irregularity that results in a noticeable loss of contour projection. Most congenital skull defects are not full-thickness. Rather they are partial thickness with inadequate bine thickness compared to the surrounding bone. One of the smaller congenital skull defects Read More…

Plastic Surgery Case Study – Chin Implant Augmentation and Lower Lip Incompetence

Background: Chin deficiencies are typically described by the relationship of the most projecting part of the chin to the lower lip in the profile view. While this is a good aesthetic proportion to use, chin deficiencies may be associated with other physical findings as well. As chin deficiencies become greater soft tissue issues can develop Read More…

Plastic Surgery Case Study – Early Nasal Swelling After Rhinoplasty

Background: Like all facial surgeries there is going to be swelling and bruising which will persist for a longer period of time after surgery than most people want. This is certainly no less true for rhinoplasty surgery. But what differentiates nose reshaping surgery from all other facial procedures is the persistence of swelling, often lasting Read More…

Understanding the Shape of the Model Cheek Implant

As an assured method of cheek augmentation, implants have been around for over three decades. While current cheek implant styles remain relevant for many patients, contemporary cheek and midface looks have changed. To address these evolving aesthetic trends, newer designs for cheek implants need to be used. More younger patients are requesting the so called Read More…