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Plastic Surgery Case Study – Submental Technique for Vertical Chin Reduction

Background: Excessive chin projection can occur in numerous dimensions and often involves multiple dimensional excesses concurrently. But isolated chin excesses or single dimensional macrogenias (large chins) do occur and presents as either in the horizontal or vertical dimensions. Vertical macrogenia can be effectively treated through two different approaches unlike many other types of large chins. Read More…

OR Snapshots – The Cap Graft in Open Rhinoplasty

Rhinoplasty surgery is an osteocartilaginous operation, meaning changes are made to the bone and cartilage supporting structures. Ultimately the final aesthetic results is in how these changes are done and how much they show through the overlying skin as it shrinks and contracts around the reshaped nasal framework. Such osteocartilaginous framework changes can be done Read More…

Plastic Surgery Case Study – Direct Open Cleft Tip Rhinoplasty

Background:  The evolution of rhinoplasty becoming a nose reshaping operation with more predictable outcomes took a major step with the introduction of an open rhinoplasty approach. Being able to see the cartilage and bone structures that are to be manipulated offers an obvious aesthetic advantage. And to do so with a negligible columellar scar adds Read More…

Plastic Surgery Case Study – Tragus Cartilage Reshaping after Facelift

Background:  The ear is comprised of many individual shapes created by the shape of the underlying cartilage. It is unclear as to the functional significance of many of these cartilage prominences. But the most anterior one, the tragus, has a clear functional role in the deflection of sound waves back into the external auditory canal. Read More…

Custom Pectoral Implants in the Treatment of Poland Syndrome

Poland syndrome is a well known chest wall deformity that always has some degree of underdevelopment of the pectoralis muscle. With the muscle deformity displacement of the nipple superiorly usually occurs as well potential underlying ribcage abnormalities. Many variations in the expression of Poland syndrome occur with other potential deformities of the shoulder, arm and Read More…

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