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Congenitally Long Earlobe Shortening with Facelift Case Study

Background A vertically long or enlarged ear (macrotia) can result from several causes. Different regions of the ear may contribute to the enlargement—ranging from the middle concha and superior third crus cartilages to the lower third earlobe. To achieve an effective ear reduction, it is essential to identify the exact source of the enlargement so Read More…

The I Pattern Direct Necklift Excision for Large Neck Wattles Case Study

Background Neck sagging is an inevitable result of aging. The extent varies among individuals and is influenced by factors such as youthful neck shape and body weight. Strong jawlines with thinner tissues and healthy body weight tend to age with less noticeable neck changes, whereas those with less defined jawlines, thicker tissues, and higher body Read More…

Standard vs Custom Facial Masculinization Implants Case Study

Background Facial masculinization surgery is most commonly performed at three skeletal levels: Lower jawline Midface (cheeks) Upper brow bones While other areas may be addressed, these regions are the most frequently augmented for masculinizing effects. Each shares a natural convexity, and surgery aims to enhance this by adding projection to otherwise flat or underdeveloped contours. Read More…

Custom Vertical Orbital Dystopia Implant

Eye asymmetry can result from differences in the shape of the bony socket in which the eyeball resides. The eye sits within a cone-shaped cylinder of bone that is widest in the front—where the cornea, iris, and sclera are visible—and narrows at the back to a small opening for the optic nerve to pass into Read More…

Abdominal Etching in an Older Male Patient Case Study

Background One of the core principles of liposuction, unchanged since its introduction in the U.S. in 1981, is to avoid skin irregularities by achieving as even a fat reduction as possible. Abdominal etching, however, is an exception. Instead of uniformly removing fat, targeted linear reductions are performed to mimic the natural horizontal inscriptions of the Read More…

Gel Buttock Implants Case Study

Background Buttock implants remain the only option for augmentation when fat stores are insufficient or depleted. Solid silicone implants reliably provide volume, but they will never feel as soft as a patient’s own fat or muscle. Advances in lower-durometer silicone over recent decades have improved implant softness, but there is a natural limit. Unlike other Read More…

Soft Tissue Occipital Knob Case Study

Background Among the various aesthetic skull protrusions, the occipital knob is the most well-known and visually distinct. As its name implies, it presents as a solitary, rounded prominence at the bottom of the occipital bone, on the back of the head. This structure is an enlargement of the inion, a naturally occurring part of the Read More…

Calf Implant Surgery – Anatomy and Surgical Placement Considerations

Introduction The most reliable method of calf augmentation is with the use of implants.. Fat injections may benefit patients who have adequate donor sites and can tolerate their unpredictable volume retention, but most muscle augmentations get the most predictable and effective results from implants. Like most extremity implants, subfascial placement inside the muscle sheath is Read More…

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