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Management Strategies for the Thickness-Skinned Nose in Rhinoplasty

The thickness of the nasal skin has a well known important influence on the outcome of rhinoplasty. Such skin thickness can have either be a favorable or an unfavorable effect on the eventual shape of the nose. By far surgeons would much rather have thinner skin but there is no avoiding the thick-skinned rhinoplasty patient Read More…

5-FU Injections in Postoperative Rhinoplasty Management

Rhinoplasty surgery produces an expected amount of swelling and bruising based on the extent of the surgery. Like all facial surgeries the swelling and bruising is temporary and takes time go resolve. The swelling from rhinoplasty, however, is well known to be prolonged and is most manifest in the tip area. The tip swelling can Read More…

Technical Strategies – Intraoperative Positioning Guides for Custom Jawline Implants

Custom jawline implants offer an unparalleled ability to reshape the entire jawline and the lower face. Combining chin and jaw angle augmentation in a connected fashion can have a powerful effect given the surface area of the lower jaw that it covers. Because of this surface area coverage even small amounts of implant thickness create Read More…

Plastic Surgery Case Study – Female Custom Chin Implant

Background: Chin implant augmentation is the most commonly performed of all facial implants. The procedure has been done for over fifty years and, as a result, a wide variety of chin implant styles have been developed. While often named after the surgeon who developed them (which is not particularly helpful in understanding what they are Read More…

Plastic SurgeryCase Study – Arm Lifts after Weight Loss

Background: Large amounts of weight loss is a very positive benefit to one’s health when needed. But the tradeoff for this medical and often needed benefit is the unaesthetic sequelae of loose skin. How significant this new problem is depends on many factors including the amount of weight loss, patient’s age, natural quality of their Read More…

Fat Injections, Stem Cells and Injectable Scar Therapies

Fat injections have become the modern day equivalent in plastic surgery of the ‘magic bullet’. Like antibiotics over 75 years ago (although not quite that dramatic) fat injections have become widely used for a variety of problems in plastic surgery from treating radiation-damaged tissues to cosmetic augmentations of the face and body. Clinical successes Read More…

The Contemporary Use of Custom Forehead Implants

Augmentation of the forehead is done for a variety for reasons which differ based on gender and ethnicity. In women it is usually to create a rounder and more vertically inclined forehead which often does not include the brow bones. In men it is either for brow bone augmentation alone, correction of a backward forehead Read More…

Fat Processing Methods for Injectable Facial Fat Grafting

Fat grafting to the face has become an accepted and popular soft tissue augmentation method. Most of this fat grafting is done by injection given its versatility and ability to be done just anywhere on the face. By harvesting the fat by liposuction from a body site, it is processed and then injected. Given the Read More…

Plastic Surgery Case Study – Female Submental Chin Reduction

Background: Chin reduction remains an infrequently performed and challenging procedure. It is a far ‘simpler’ aesthetic prospect to stretch out the soft tissues of a bony prominence through implants or osteotomies (chin expansion) than it is to do a bony chin reduction. While often believed that simple burring of the bone from an intraoral approach Read More…

The Anatomic Basis for Custom Infraorbital-Malar Implants

The cheeks occupy a prominent aesthetic position in the midface. They create some amount of facial prominence/angularity as they curve around between the eye and the side of the face. While the cheek is often perceived as an isolated circular area by the side of the eye, as is commonly seen in the shape of Read More…