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Maxillary Bone Contouring after LeFort I Osteotomy

A Lefort I or maxillary advancement osteotomy is one of the most commonly performed orthognathic surgery procedures. By making a bone cut above the roots of the maxillary teeth, the entire upper jaw bone can be separated from the midface bone above it and moved based on the palatal and mucogingival soft tissue attachments. Read More…

Male Back of Head Augmentation with Custom Skull Implants

A flat back of the head occurs due to either congenital in utero fetal positioning or post birth neonatal/infant sleep habits. Certain ethnicities are more prone to it than others but all skulls can be reshaped at very early ages in adverse manner. One of the most common aesthetic skull deformities that has its origin Read More…

Technical Strategies – The Split Custom Jawline Implant Placement Method

A custom jawline implant is undoubtably the best method to augment the entire lower third of the face. Since it covers the entire jaw from angle to angle crossing the chin it creates both volume and definition for a more distinct transition of the face into the neck. Its one-piece design also offers a lower Read More…

Plastic Surgery Case Study – Male Total Ear Reshaping

Background: The external ear has a remarkable topographic complexity to it for being such a small craniofacial structure. Its many hills and valleys (convexities and concavities) give rise to over fifteen different subunit names. The earlobe is the only flat surface structure on the whole ear that has has no cartilage support. Despite its anatomic Read More…

The WiFi Otoplasty for Prominent Ears

The most common aesthetic ear surgery is that of the setback otoplasty. Changing the auriculocephalic angle by bringing the outer half of the ear closer to the side of the head makes the ears less prominent in the frontal view. It is a procedure that has a high satisfaction rate with few complications. Its most Read More…

Technical Strategies – Transpalpebral Brow Reduction with Temporal Browlift

The outer half or tail of the brow bone can be reduced through an upper eyelid incision. This is useful in numerous clinical conditions where only the outer half of the brow bone needs to be changed such as in facial asymmetry (vertical brow bone elevation ) and in some types of facial feminization surgery. Read More…

Comparing Injectable Filler Options in HIV-Associated Facial Lipoatrophy

Facial lipoatrophy is a well known aesthetic complication from the treatment of human immunodeficiency virus conditions with retroviral medications. While the drugs used to to treat this medical condition have improved and nucleoside reverse-transcriptase inhibitors are being used less frequently, this every visible facial deformity still occurs in some patients even if the medications are Read More…

Plastic Surgery Case Study – Direct Approach for Pixie Ear Deformity Correction

Background: The basic concept of a lower facelift is one of tissue repositoning. Loose face and neck tissues are freed up and then repositioned up over the ears. The ear becomes partially buried under this flap of skin of which the redundancy is trimmed and the full ear is re-exposed. This places a closure line Read More…

Keystone Area Concepts in Hump Reduction in Rhinoplasty

The bridge or dorsum of the nose is one of the most frequently manipulated areas in rhinoplasty. Removing a nasal hump is the primary reason and most patient’s interpret this as ‘shaving down the bone’. But in reality the area of a hump, also known as the keystone, has a more complex anatomy. It is Read More…

The Posteromedial Scar Location in Arm Lift Surgery

Extreme amounts of weight loss from bariaric surgery are well known to cause a lot of body changes with the development of sagging excess skin. Of all the possible bariatric plastic surgery options amongst women the brachioplasty or arm lift procedure is usually in the top three body changes desired. (I have never had a Read More…