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Lengthening of the Lower Face with Vertical Opening Genioplasty

One of the elements of an attractive face is known to be proportions. While some may argue that symmetry is the most important part of facial beauty, symmetry and proportions are really linked. One doesn’t work well without the other. Facial proportions can be assessed both horizontally as well as vertically. The classic facial thirds Read More…

Processing Methods for Injectable Fat Grafting

Fat grafting as a method of both soft tissue reconstruction and aesthetic augmentation has taken on a dominant role in plastic surgery the past decade. Between the wide availability of donor tissue, its relatively easy harvest and subsequent injectability, it is no wonder that autologous fat transplantation has become so popular. But despite its many Read More…

Clinic Snapshots – Inferior Border Shave of the Lower Jaw for Asymmetry Correction

Facial asymmetry often involves the lower jaw. Since the lower jaw defines the border of the face to the neck, any differences between the two sides of the face can be clearly seen. It is usually not difficult to determine which is the normal side and which is the affected side although this is ultimately Read More…

Early Nose Appearance after Rhinoplasty Dressing Removal

Rhinoplasty is the most common facial reshaping procedure with a long and rich surgical history. While techniques for reshaping the nose have changed and evolved over the years, the one issue that has persisted is the need for some form of postoperative compression. It is viewed as an essential element of the surgery and can Read More…

Plastic Surgery Case Study – Hydroxyapatite Cement in Pediatric Skull Reconstruction

Background: Skull defects occur in children for a variety of reasons. But one of the most common causes is early surgery for congenital skull deformities. When reshaping large portions of the skull their complete healing depends on the natural osteogenic capability of the underlying dura. This is usually very robust at very young ages but Read More…

OR Snapshots – Sliding Genioplasty with Chin Implant Overlay

Chin augmentation can be done through either placing an implant on top of the bone or moving the actual bone forward. Both are valid chin enhancement techniques and each has their own unique advantages and disadvantages. While there are strong surgeon advocates for both techniques, it is important to remember that not every patient is Read More…

Subfascial Placement Technique for Calf Implants

Calf augmentation is one of the most infrequently performed of all body contouring procedures. Part of the reason for its low rate of performance is patient demand. The other reason is that most plastic surgeons are uncomfortable performing the procedure having never seen it done or been trained to do it. The widespread use of Read More…

OR Snapshots – Subcostal Rib Removal through a Tummy Tuck Approach

Rib removal is done for a variety of waistline concerns. Such concerns must be divided into anterior and posterior aesthetic waistline issues. The most common perception of the aesthetic benefits of ribs being removed is for horizontal waistline reduction where ribs #10, 11 and 12 may be reduced through a posterior or back approach. `This Read More…

Plastic Surgery Case Study – Custom Implant for Vertical Orbital Dystopia

Background: Few faces are perfectly symmetric and most of us have some noticeable differences between the right and left sides. Such facial side differences are usually well tolerated or may not even be known. We all recognize that ‘no one is perfect’ and everyone has a little bit of facial asymmetry which is seen within Read More…

Clinic Snapshots – TMJ Arthroplasty Scar

Dysfunction of the temporomandibular joint (TMJ) is one of the most common causes of head and neck pain. Inside the joint is a working relationship between the condylar head (ball) and the glenoid fossa (socket) which is separated by a meniscus or disc. This thick fibrous structure allows the ball of the joint to rotate Read More…