Blog

Long-Term Outcome of ePTFE Ear Reconstruction

Ear reconstruction for partially or completely removed/lost ears in adults must take into consideration the needed soft tissue coverage. While the cartilage of the ear can be replaced by either a synthetic framework or rib cartilage, it requires vascularized tissue and a skin graft to have a reconstruction result that survives and hopefully looks good. Read More…

Plastic Surgery Case Study – Posterior Sagittal Crest Reduction Through a Limited Scalp Incision

Background: The sagittal suture is the fibrous connection between the two parietal skull bones running down the midline of the head. It remains as a soft tissue connection until the second or third decide of life when it closes and disappears. Premature closure of the suture in utero or early after birth results in the Read More…

OR Snapshots – The Fate of the Cut Muscle Edge from Temporal Reduction Surgery

Temporal reduction is an effective method for narrowing the wide head. The wide head is defined as the area above the ears that has too much convexity or fullness. Extreme fullness at the sides of the head occurs when the width of the head gets near a vertical line drawn up superiorly from the inside Read More…

Technical Strategies – Transcoronal Approach for Posterior Zygomatic Arch Osteotomy

Cheekbone reduction by osteotomies is the only surgical method for narrowing a wide face. While most commonly performed on Asian patients all around the world, I have done an equal number on other ethnicities as well. By performing a bone cut through the main body of the cheek (zygoma) and at the back end of Read More…

Technical Strategies – Submental Approach for Tracheal Shave

The reduction of a prominent Adam’s Apple is known as a tracheal shave. Done directly over the tracheal prominence through a small skin incision the V-shaped thyroid cartilage is reduced, as the name indicates, by shaving it down with a scalpel blade. Since the prominence is composed of cartilage it can be reduced in layers Read More…

Posterior Maxillary Reduction for Lower Cheek Fullness after Large LeFort I Advancements

The LeFort I osteotomy is the most common midface bony procedure and has been a staple in orthognathic surgery for over a half decade. With a horizontal osteotomy line above the level of the teeth and across the base of the nose, the upper jaw is mobilized and moved in a variety of dimensional changes Read More…

Technical Strategies – The Vertical Opening Wedge Genioplasty for Correction of Chin Asymmetry

Chin asymmetry is easily seen as the most projecting part of the lower face is shifted off of the facial midline. The central chin point is shifted to one side or the other and can occur for variety of reasons. The most common reason is developmental or traumatic where the sides of the jaw Read More…

Plastic Surgery Case Study – Large Buffalo Hump Reduction with Power-Assisted Liposuction

Background: The buffalo hump is a descriptive term that universally applies to a discrete collection of fat on the back of the neck. Looking at the American bison it is easy to see why it has its name with the massive shoulders of the animal being amongst its most distinct features. But unlike the bison, Read More…

Plastic Surgery Case Study – Linear Custom Jawline Implant for Male Medpor Chin and Jaw Angle Implant Removals

Background: Augmentation of the total lower third of the face is historically and most commonly done using standard implants. The combination of chin and jaw angle implants, a three implant approach, provides enhancement of the three corners of the lower face. While theoretically appealing and a good solution for many jawline needs, it can be Read More…

Plastic Surgery Case Study – Vertical Breast Lifts with Implants

Background: The sagging of the female breast is a common sequelae to age, pregnancies and weight loss. The shape of a woman’s breast is rarely a static structure over their lifetime being subject to a variety of forces that work to make the breast mound lose its shape. Stretching of the mound skin and loss Read More…