Blog

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…

Custom Skull Implant Design for Occipital Plagiocephaly Correction

Flattening of the back of the head is one of the most common aesthetic skull deformities. It can occur either as a total or bilateral flattening of the back of the head (occipital brachycephaly) or on just one side. (occipital plagiocephaly) The actual occurrences of either type of occipital skull deformity is not known and Read More…

Plastic Surgery Case Study – Female Custom V-Line Jaw Implants

Background: The shape of the jawline has taken on great aesthetic importance in contemporary society. This is not just for men but for females as well. But the desired shape of the female jawline is different from that of men. It is desirous to be more tapered from back to front and have more Read More…

The Design of the Forehead Widening Temporal Implant

Temporal implants have become an effective surgical option to injectable filler and fat for aesthetic temporal hollowing. Placed in a subfascial location over the temporalis muscle through an incision behind the temporal hairline, they provide permanent temporal muscle augmentation. These now standard implants have their primary effects at the lower end of the temporal zone Read More…