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Composite Buttock Augmentation – Combining The Benefits of Implants and Fat Grafting

Buttock augmentation has evolved over the last two decades in two different volumetric treatment approaches. Injectable fat grafting has become the most common method of buttock augmentation due to the combined benefits of reductive body contouring and gluteal enlargement. Concurrently, buttock implant techniques have evolved with intramuscular pocket locations and improved implant materials and sizes Read More…

Plastic Surgery Case Study – Female Abdominal and Flank Power-Assisted Liposuction

Background: Non-excisional surgical fat removal, aka liposuction, has been the most popular body contouring procedure for the past four decades. Even with the onset in the last decade of non-surgical fat removal technologies (e.g., Cool Sculping, Vanquish) the number of patients undergoing liposuction surgery has not decreased. This is a testament to the fact that Read More…

The Challenges in Accurate Placement of Custom Jawline Implants

Custom jawline implants are in the properly selected patient the most powerful changer of the lower facial support structure. Creating a more distinct separation between the face and neck is a more extended version of what a standard chin implant does at the front of the jawline. Because the amount of surface area and volume Read More…

Plastic Surgery Case Study – Secondary Rhinoplasty for Enhanced Feminization of Nasal Shape

Background: Feminization of the nose typically implies certain featural changes. Amongst them includes a a narrow nose in the front view and a lower dorsal line with upward tip rotation in the profile view. The degree of these changes is what influences the degree of nasal feminization and the patient’s perception of them. The reduction Read More…

Plastic Surgery Case Study – Three Piece Split Custom Midface Mask Implant for Increasing Midface Projection

Background: The face can be augmented by standard preformed implants in a variety of well known ‘spot’ or smaller locations. Cheek implants are often cited as midface implants but there position is largely more lateral than central.The only central midface standard implants are for the infraorbital and premaxillary-paranasal areas, which have roles for isolated limited Read More…

Clavicle Lengthening By Osteotomy and Bone Grafting For Shoulder Width Augmentation

Aesthetic changes to the width of the shoulder can be done by a variety of surgical techniques. For shoulder width reduction only one surgical method exists…clavicular reduction osteotomies. Conversely shoulder augmentation can be done by three different methods which are performed at different shoulder locations. Deltoid muscle augmentation can be done by either injectable fat Read More…

Plastic Surgery Case Study – Male Custom Jawline Implant Replacement for Shape Changes

Background: The custom jawline implant is the most effective and powerful changer of the shape of the lower face in younger patients who do not have soft tissue aging issues. Because of its custom design it provides a good fit to the patient’s existing mandibular bone and creates a 3D expansion of the inferolateral bone Read More…

Lateral Eye Reshaping with Endoscopic Canthopexy and Temporal Browlifts

The shape of the eyes plays a major role in one’s facial appearance. Improving eye shape has a long history in plastic surgery and historically relates to rejuvenation efforts with surgical removal of excess eyelid skin and fat as well as brow reshaping. Contemporary injections technique using neuromodulators and fillers help create favorable periocular changes Read More…

Plastic Surgery Case Study – Combining Custom Skull and Temporal Implants for Overall Head Enlargement

Background: Enlarging the size of the head must take into consideration multiple issues. The first is what zones of the head need to be augmented. (top, back, front and sides) The second is how much augmentation can be done in a single surgery given the stretch of the scalp to permit it. And thirdly, if Read More…

Technical Strategies – Dynamic Canthopexy for Lateral Eye Reshaping

The concept of a canthopexy is a surgical tightening of the outer corner of the eye. This can change both the shape of the eye as well as the tension across the lower eyelid. Int a true canthopexy the lateral canthal tendon attachment to the bone is maintained and the tendon is folded over onto Read More…