Blog

Plastic Surgery Case Study – Sliding Genioplasty with Implant Overlay Combined with Necklift

Background: Chin augmentation is the most common facial reshaping procedure behind rhinoplasty. While most chin augmentations are done by an implant due to its ‘simplicity’ and ease of the procedure, it is not appropriate for all types of chin augmentation. An implant works best for pure horizontal augmentation that are of moderate amounts of change. Read More…

Basic Concepts of Transgender Male to Female Brow Bone Reduction

In facial feminization surgery (FFS), forehead recontouring is an important one-third of the facial changes needed. There may be a few patients in which burring of the brow bone is sufficient to reshape the entire superior orbital rim. But most male to female brow bone reductions of any significance require the well described type III Read More…

Plastic Surgery Case Study – Custom Skull Implant for Right Occipital Skull Defects from Infant Cranial Vault Surgery

Background: In pediatric craniofacial surgery one of the most known procedures is that of cranial vault reconstruction. Done for craniosynostosis and other severe congenital skull deformities, it involves the extensive removal of misshapen skull bones and their immediate reconstruction in infants and very young children. The success of these procedures is based on the remarkable Read More…

Concepts in Female Brow Bone Reduction

Cis-gender females undergo brow bone reduction much less frequently than men as it would be unusual for them to have a significant brow bone protrusion. These smaller protrusions do not usually require a bone flap setback technique as the amount of reduction needed can be done by bone burring alone. If the reduction needed is Read More…

Concepts in Male Brow Bone Reduction

While brow bone reduction is done in both men and women, the techniques may be different based on the amount of brow bone reduction required. In my experience most men that consider and undergo reduction of their brow bone prominences do so because they are extremely large and have a dramatic impact on the perception Read More…

ePTFE Paranasal Augmentation in Asian Rhinoplasty

Paranasal augmentation is a specific form of midface skeletal enhancement that is isolated to the side of the nose. It is anatomically identified externally at the junction of the nose and the face along the alar-facial crease. This is a naturally flat to concave part of the face that can become exaggerated in certain type Read More…

Avoiding Aesthetic Chin Implant Complications III. Square Chin Augmentation

Some men desire a more square shape to their chin implant augmentation. Standard square chin implant styles have been around for decades and have served some patients well. But like all standard implants they do not work well for everyone and may not create as much squareness as the patient desires. It is important to Read More…

Avoiding Aesthetic Chin Implant Complications II. Vertical Elongation

While the most common chin augmentation dimension is forward or in the horizontal dimension, the most under diagnosed chin augmentation patient is the one who needs some vertical lengthening as well. Vertically elongating the chin typically means a forward and down direction of augmentation in profile (45 degrees in the side view) and not a Read More…

Avoiding Aesthetic Chin Implant Complications I. The Standard Horizontal Augmentation

Chin implant `augmentation is typically viewed as a ‘simple’ operation that has a low complication rate. And for many types of modest chin augmentations needs this may be true. But I have seen hundreds of ‘simple’ chin implant patients that have become complicated through improper implant selection and placements. Many of these patients never went Read More…

Implant Design Considerations for the High Cheekbone Look

Creating the high cheekbone look using an implant currently requires a special design to do so. Such a look is based on the natural shape and convexity of the complete zygomatic bone which includes both its main body as well as posterior arch component. There are no standard cheek implants that have yet been designed Read More…