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Alloderm Interpositional Graft in Nasal Septal Perforation Repair

  Septal perforations occur for a variety of reasons, most commonly from septorhinoplasty surgery, trauma and chronic cocaine use. They are difficult reconstructive challenges because of limited surgical access, the difficulty of mobilizing tissues in a tight space and the need for at least a two layer closure of them. If this were a full-thickness Read More…

Improving Fat Grafting Outcomes in Linear Scleroderma

Linear scleroderma is a well recognized craniofacial deformity that involves the atrophy of tissues along the distribution of the trigeminal nerve in many cases. This unusual disease process is not understood but treatment focuses on restoration of lost tissue volume. Today injectable fat grafting is a mainstay of its treatment. While the survival of injected Read More…

OR Snapshots – Intraoperative Shaping of ePTFE Nasal Implants

Significant nasal augmentation is needed in certain ethic aesthetic rhinoplasties as well as in reconstruction of saddle nose deformities that have occurred for a variety of reasons. To be effective such augmentations requires the material needed to do it. In most cases the augmentation material of choice comes down to either a rib graft or Read More…

Product Review – Silagen Scar Refinement System

Scars are the result of all elective aesthetic incisions or any method that wounds the skin’s surface. How well any scar will heal depends on a wide variety of factors from its anatomic location, skin thickness, natural degree of pigmentation, and the method that was used to both make the skin injury as well as Read More…

The Importance of Material Flexibility in Custom Jawline Implants

There are two powerful jawline techniques for changing the size and shape of the lower third of the face. Orthognathic surgery is well known and has been done for many decades. In the developmentally deficient lower jaw sagittal split osteotomies, particularly if a chin augmentation is combined with it, can produce dramatic changes in the Read More…

Biologic Observations in Medpor Facial Implant Removals

There are a variety of biomaterials that are used for aesthetic facial implants. The vast majority are either solid silicone or Medpor (porous polyethylene) all around the world. There are advantages and disadvantages for the use of either biomaterial and there are an equal number of advocates for each as well. Silicone is the Coke Read More…

The Use of Betadine Irrigation in Breast Implant Surgery

In the surgical placement of breast implants, it is important to prevent bacterial contamination and inoculation of the implant as it is placed into the tissue pocket. Besides the risk of infection, bacteria can create a well known biofilm layer on the implant’s surface which can lead to a far more common complication known as Read More…

The Evolving Techniques for Custom Facial Implant Design

Facial implants have been around as a common aesthetic facial procedure for about three decades. Over this time many different styles and sizes of facial implants have become commercially available and they do satisfy may modest to moderate aesthetic facial bone deficiencies. But not every aesthetic facial volume need can be meet with the use Read More…

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