Blog

Technical Strategies – Mouth Widening in Scar Contractures

The width of the mouth and the flexibility of the lips are important for food intake and oral hygiene. They not only permit the lower jaw to open fully but also allow mobility of the adjacent facial soft tissues with expression. Having a ‘loose’ oral sphincter is taken for granted until one doesn’t have that Read More…

The Dimensions of Extra Large (XL) Custom Pectoral Implants

Pectoral implants are the primary method of male chest enhancement. Placed on top of the ribcage, they are intended to increase the volumetric effect of what lies over them…the pectoralis major muscle. Because it is a muscle enhancing implant and not a mound creator like breast implants, the tissue pocket for pectoral implants should not Read More…

Clinic Snapshots – The Precision of the Upper Blepharoplasty

Aging of the eyes is often the first sign of facial aging. Its develops initially because the thin skin of the eyelids and their frequent movement creates excessive excessive and loss skin. The upper eyelid often suffers the worst because it actually is more active than the lower eyelid with a greater excursion of movement. Read More…

Plastic Surgery Case Study – Secondary Custom Skull Implant Replacement for Greater Volume

Background: Various forms of skull augmentation have become a common procedure in my practice. From flatness on the back of the head, a narrow head width, the desire for greater skull height and shape to a more projecting forehead and/or brows, custom skull implants can more than adequately meet these needs with a safe and Read More…

Plastic Surgery Case Study – Custom Forehead-Temporal Implant Replacement for Smaller PMMA Forehead Implant

Background: The size of the forehead has a major influence on the appearance of one’s face, occupying the entire upper third of it. Beyond its size the shape of the forehead is also important with many gender specific features. In general, males have stronger brows, a wider forehead and a gentle backward slope to it. Read More…

Plastic Surgery Case Study – Lower Lip Advancement for Subtotal Hemangioma Excision

Background: The lips are composed of both wet and dry tissue known as vermilion. Known as the pink or red part of the lips its presence and size determines whether the size of the lips is interpreted. But the one red tissue one does not want on their lips is a hemangioma. Hemangiomas are benign Read More…

OR Snapshots – Extended Arch Cheek Implant Replacements

Cheek implants can be the most difficult to decide preoperatively as to their style and size. Because the cheek is an oblique structure and not a profile one, it defies any exact measured target to achieve. The cheek does have very specific zones of augmentation, four to be exact, and it becomes important to consider Read More…

Plastic Surgery Case Study – Mushroom Male Nipple Reduction

Background: The existence of the nipples in a male is from its embryological development. Since all embryos start out as a female, the existence of the milk lines and the nipples develop before the embryo’s sex has been determined. Once the Y chromosome and testosterone levels make it into a male, the nipples are already Read More…

OR Snapshots – Facial Cyst Removal

Lumps and bumps of the face are common. They are usually located in the subcutaneous layer right beneath the skin and, in some types, are directly attached to the underside of the skin. The most common pathologies are sebaceous cyst, dermoid cyst and lipoma. While they are benign they will usually continue to grow. While Read More…

Technical Strategies – Rib Graft Shaping in Augmentative Rhinoplasty

Rib grafts are the material of choice for many larger augmentative rhinoplasties and complex nasal revisions. They offer a virtually unlimited amount of cartilage graft material that can be used anywhere on the nose from the bridge down to the tip and columella. Because cartilage is softer than bone and relatively easy to carve, it Read More…