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Technical Strategies – Wedge Resection for Nostril Narrowing in Rhinoplasty

Rhinoplasty is capable of changing many features of the nose based on bone and cartilage manipulations. And while the shape of the nostrils is influenced by cartilage changes at the nasal tip, not all aspects of the appearance of the nostrils can be so changed. While the width of the nostrils is not necessarily influenced Read More…

Alloderm Grafts for Undereye Hollows

Undereye hollows are a bothersome aesthetic deformity. They occur for a variety of reasons with the cost common being aging with loss of fat and a congenital infraorbital bone deficiency with a negative orbital vector. This creates for the patient a look of aging and tiredness and even a pseudoproptotic appearance. The most common treatment Read More…

Standard Implant Options for Limited Hip Augmentation

As buttock augmentation had grown in popularity the desire for hip augmentation has as well. Given their anatomic proximity it is no surprise that patients seeking augmentation for one may inevitably request augmentation of the other. This is seen in patient who have had successful buttock augmentation and now may feel that their hips are Read More…

Design Considerations ofor a Total Custom Skull Implant for Head Augmentation

Aesthetic augmentation of the head can now be effectively done using custom skull implants made from a 3D CT scan. With 3D designing software the zone of skull augmentation can be clearly identified and an implant designed to cover it and create an improved head shape. This is a far superior technique to the use Read More…

Plastic Surgery Case Study – Custom Thigh Implant for Soft Tissue Atrophy

Background: The size of the thigh (upper leg) is heavily influenced by the bulk provided by its muscle mass. Between the large femur bone and the many muscles that encircle it the thigh is always bigger than its lower leg counterpart in both length and circumference. As the connector between the pelvis and the knee Read More…

OR Snapshots – Popliteal Skin Incisions for Calf Implants

There are numerous reasons patients seek calf augmentation. The desire for a more muscular calf appearance in an otherwise normal but thin calf and improvement in congenital or traumatic calf asymmetry are the most common patients that seek calf augmentation. The only assured method to achieve such calf size improvements is with the use of Read More…

The Arch Extension Concept in Contemporary Cheek Implants

Cheek implants have been used for over three decades as an elective form of aesthetic midface augmentation. While known and sought after the different styles of cheek implants primarily augment the main body of the cheekbone known as the zygoma or malar eminence. This is appropriate given that the fundamental concept is to augment the Read More…

Scalp Tissue Expansion Technique in Large Custom Skull Implants

Custom skull implants can be designed in virtually any shape or thickness. But just because it can be so designed does not mean that it can be safely placed or maintained. The ultimate success of any skull implant, particularly larger ones, is that the overlying scalp must have adequate stretch to accommodate it. This is Read More…

Correction of Bony Chin Asymmetry By Inferior Border Shaving

Asymmetry of the chin is not common and is almost always due to the bone. Since the lower jaw is formed embryologically by paired arches coming together in the midline at the chin it would not be surprising that occasionally the two half are not perfectly equal creating a bony asymmetry. (congenital chin asymmetry) But Read More…

The Midface Mask Implant for Aesthetic Facial Augmentation

The most common implant method of augmentation above the jawline are cheek implants. While not quite as historic as chin implants, cheek implants have been around for decades. While they can be effective for the properly selected patient, their midfacial effects are limited to the anterior malar and submalar regions of the face with today’s Read More…