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Use of the Buccal Fat Pad for Facial Fat Injections

The buccal fat pad is a well known reservoir of facial fat that can be removed in selective patients for a cheek thinning effect. The buccal lipectomy is an impressive procedure when one looks at the size of the fat pad as it is being extracted. But beyond its potential aesthetic facial benefits, the uniqueness Read More…

New Technique in Earlobe Reduction Surgery

While often perceived as a myth, the ears do grow longer with age. But it is not really that the ear is growing, rather the earlobe is sagging. As the only non-cartilage supported structure of the ear, earlobes can and do develop ptosis (sagging) The vertical length of the earlobe does get longer with age Read More…

Plastic Sugery Case Study – Dermal Graft for Jaw Angle Asymmetry

Background: Asymmetry of the lower third of the face is common. While there can be a soft tissue component to it, more times than not it is caused by asymmetry of the bone. the most common location for jaw asymmetries is in the angle area. The mandibular ramus is the L-shaped portion of the jaw Read More…

Plastic Surgery Case Study – Custom Forehead PEEK Implant for Lost Craniotomy Bone Flap

Background: Reconstruction of the forehead is very different than aesthetic forehead augmentation. By definition reconstruction is required when a portion of the bony forehead has sustained a full-thickness bone loss. This most commonly occurs due to either trauma or the loss of a craniotomy flap after intracranial tumor surgery. When rebuilding the forehead that has Read More…

Plastic Surgery Case Study – Sliding Genioplasty for Medpor Chin Implant Replacement

Background: Chin implants in females is a common lower facial reshaping procedure. While they add desired amounts of horizontal projection and improve the facial profile, the extended wing designs of today’s chin implant designs can have adverse effects on they look in the front view. While the extensions on the implants are designed to create Read More…

Plastic Surgery Case Study – Scrotal Reduction for Chronic Enlargement

Background: The normally quiescent scrotum that draws little attention can become a major focus when it dramatically enlarges. There are a variety of causes for scrotal enlargement including injury, genital and pubic mound surgery, inguinal hernias, testicular torsion, varicoele, orchitis, hydrocoele and epididymitis to name the most common. In almost of of these causes once Read More…

Plastic Surgery Case Study – Do Breast Implants Make Stretch Marks Better or Worse?

Background: The finding of stretch marks on the breasts is common and reflects loss of skin elasticity from pregnancy and/or weight gain/loss. They always occur in a radiating pattern around the areola like rays of the sun. Careful inspection of the stretch marks will reveal that they are thinner than the surrounding skin and have Read More…

The Role of Vertical Lengthening Jaw Angle Implants in Jaw Augmentation

While jaw angle implants have been around for over 25 years, they only recently have become more popular and in higher demand for jawline enhancement. Offering augmentation to the often overlooked back part of the jaw, they add dimensions to the lower third of the face that can be primarily seen in front and oblique Read More…

Combining Vertical Ear Reduction with Setback Otoplasty

The vertically long ear is one that appears disproportionate to other facial features. Generally if the length of the ear is greater than that of the nose, for example, it can be judged to be too long. But no matter how it is measured of the patient thinks the ear is too long then it Read More…

Plastic Surgery Case Study – Breast Augmentation after Weight Loss

Background: Significant weight loss, albeit through diet and exercise or bariatric surgery, will have a dramatic effect on all body areas. As the fat is burned off the support for the skin is lost. This causes an overall body sag that creates a well known collection of body changes that are most reflected centrally in Read More…