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Technical Strategies – Using Buccal Fat for Lip Injections

Lip augmentation by injections is one of the most common injectable filler treatments of the face. It has been done since synthetic collagen fillers were introduced way back in 1981. Since then many different injectable filler materials have been used but the ideal lip augmentation material remains as yet undiscovered. Fat would seem to be Read More…

Custom Cheek Implants for High Arch Model Look

Cheek implants come in a variety of styles and sizes to create slightly different midface augmentation effects. Many of the styles of cheek implants have surgeon names attached to them which does not help in understanding exactly what cheek effect they create. But fundamentally cheek implants effect either the malar or submalar regions. The malar Read More…

Fat Injections as a Scar Treatment

Scars are created by the reparative mechanisms of the body to heal a wound. The amount of scar tissue created varies based on a variety of factors. While effective at sealing and healing the wounds, the scar tissue is not normal and is not an exact replica of the tissue that it replaces or that Read More…

Plastic Surgery Case Study – Vertical Inner Thigh Lifts

Background: Large amounts of weight loss, whether from bariatric surgery or through non-surgical diet and exercise, has an overall body deflation effect. This is manifest as loose skin which can be seen from the neck down to below the knees. All of this loose skin has created a whole spectrum of new body contouring procedures Read More…

Plastic Surgery Case Study – Calf Implants for the Upper Inner Lower Leg

Background: The shape of the lower leg is most commonly defined by the contours along its inner half. The knee, calf muscle and ankle provide a curvilinear shape that has a well known pleasing set of convexities and concavities.This undulating shape is highly influenced by the size of the medial gastrocnemius muscle well as the Read More…

Clinic Snapshots – Posterior Zygomatic Arch Osteotomy Incision

Cheekbone reduction surgery requires an understanding of the complete bony anatomy of the zygomatic bone. When most people think of the cheekbone ti is perceived as one solid block of bone just underneath the eye. While this area is a major part of the cheekbone, it overlooks the posterior extension of the cheekbone known as Read More…

Plastic Surgery Case Study – Occipital Knob and Roll Reduction

Background: The back of the head is not usually given much thought as it not seen by most people including the person themselves. But in today’s world where many men now shave their heads, the entire shape of the skull takes on greater aesthetic significance than ever before. A smooth shape of the skull is Read More…

OR Snapshots – The Buccal Lipectomy Zone

The buccal fat pad is the only completely encapsulated fat collection in the face. Besides its capsule it is a unique piece of fat anatomy as it is a distinct pad that has a well identified vascular pedicle providing its main blood supply. Because it is an easily found and removed piece of facial anatomy Read More…

Plastic Surgery Case Study – Custom Jawline Implant Replacement for Medpor Chin and Jaw Angle Implants

Background: A more complete jawline augmentation is most commonly done using standard chin and jaw angle implants. With good implant selection and ideal placement on the jawbone, an enhanced and satisfying jawline can be achieved. While numerous options in both silicone and Medpor facial implants exist, the material used is of no biologic or long-term Read More…

The Custom Midface Implant and Its ‘LeFort-Like’ Effect

The LeFort osteotomy is the well known of all facial osteotomies and is used to correct midface retrusion. In its most commonly used form, the LeFort I osteotomy, it is named after the fracture pattern originally described by Rene LeFort over one hundred years ago in that cuts are made across the maxilla above Read More…