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OR Snapshots – Head Widening Temporal Implants

The width of the head is determined by how wide it is above the ears. This is known as the temporal region and consists of a very uniquely shaped temporal bone and varying thicknesses of the temporals muscle over it. By the eye the temporal bone is very concave and the temporalis muscle is correspondingly Read More…

Plastic Surgery Case Study – Custom Skull Implant for Improved Back of Head Contour

Background: Augmenting skull or head shape deficiencies used to be fairly impractical. The traditional method of cranioplasty surgery involved long scalp incisions and the tedious application of bone cements to add shape to the head. Besides the scar there was a very high rate of contour irregularities and a lack of adequate augmentation effect. This Read More…

OR Snapsots – Vertical Lengthening Genioplasty (Bony Chin Lengthening)

The chin occupies the most prominent part of the lower third of the face. This is why it is the subject of many different chin reshaping options. The most common dimensional chin change is one of an increased horizontal projection. This can be done using either an implant or an advancement bony genioplasty, each with Read More…

Technical Strategies – The Placement of Perfusion Holes in Custom Skull Implants

Custom skull implants have become in my practice an effective and low risk strategy for many aesthetic skull shape concerns. Compared to any other implant used above the shoulders, skull implants are comparatively large which is appropriate given the size of the skull. But a small implant just isn’t going to work for many head Read More…

OR Snapshots – Tail of the Brow Bone Reduction Through An Eyelid Incisional Approach

Brow bone reduction is a well known aesthetic procedure for reducing the horizontal projection of the lower forehead. Done by either burring for minor changes or an osteoplastic bone flap setback technique for more major setbacks, the horizontal position of the brow and/or its convex shape can be reduced. But no matter what brow bone Read More…

Product Review – Mentor Xtra Breast Implants

Silicone breast implants have been back in clinical use for the past decade. While there are various features of these implants, such as the gel composition and the characteristics of the enveloping shell, that get a lot of attention one overlooked feature is that of implant fill. This refers to how much the enveloping shell Read More…

Plastic Surgery Case Report – The Combined Rhinoplasty Lip Lift Procedure

Background: Reshaping of the central part of the face is done by changes to the nose and lips. Whether through a rhinoplasty or various lip augmentations or lifts, the shape of these two midline facial structures have a major influence on one’s appearance whether it is seen from the front or side views. Rhinoplasty and Read More…

The Osteoplastic Bone Flap Technique in Brow Bone Reduction Surgery

Brow bone reduction is done for a variety of reasons in both men and women. While the primary objective is to reduce an overlying prominent brow protrusion, there are differences in why it is done and the technique used to achieve it. In men reduction of the brow bone is done to get rid of Read More…

Plastic Surgery Case Study – A Standard Preformed Skull Implant for Female Crown Augmentation

Background: While skull surgery has been around for more than a century, such surgeries have been done for reconstructive reasons to replace missing portions or correct significant congenital skull shape deformities. Aesthetic skull surgery, however, is much more recent and consists of reducing prominent bony areas or improving its shape through augmentation materials. The use Read More…

Combining Open Rhinoplasty and Subnasal Lip Lift

Patients desiring changes to the nose and reshaping of the upper lip are common. Nose changes are done by a variety of rhinoplasty techniques and lip changes accomplished by augmentations or surgical lifts. One of these uplifting lip procedures is the well known subnasal lip lift. Because it is done by an excision of tissue Read More…