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Age-Related Facial Skeletal Changes

The anatomic structure of the face is well known to change with aging from the outer skin down to the bone. This recognition of how the face ages provides for more effective treatment strategies. While once skin pulling and tightening was the only treatment approach, the understanding of the loss of fat with aging has Read More…

Plastic Surgery Case Study – Massive Palatal Tori Removals

Background: The finding of a bony growth on the palate is most commonly the result of the development of a tori. They typically present as a small midline bony lesion less than a few centimeters in size in early adult life. They are capable of growth over one’s lifetime but it its usually very slow. Read More…

OR Snapshots – Batten Rib Graft Lower Alar Cartilage Grafts in Rhinoplasty

The use of cartilage grafts in rhinoplasty are done for a wide variety of reasons. While all cartilage grafts add support, some of these effects are to improve the shape of the nose while others are to improve its breathing function. Of all cartilage graft placements, the nasal tip is the most common area in Read More…

OR Snapshots – Vertical Ear Reduction with Scaphal Resection

Changing the shape of the ear is most commonly done by a traditional otoplasty or ‘ear pinning’. While the size of the ear may seem to get a bit smaller in otoplasty as it moves the ear closer to the side of the head, the actual ear size does not really change. True ear size Read More…

OR Snapshots – Transpalpebral Brow Bone Reduction for Vertical Eye Opening

Brow bone reduction surgery reduces the prominence of the supraorbital ridges of the forehead and can be done in both men and women. Whether done for males to reduce the ‘Neanderthal’ brow or in male to female transgender facial feminization procedures, the main direction of reduction is in the horizontal dimension. Reducing the brow bone Read More…

OR Snapshots – Lingual Frenuloplasty for Tongue Tie Release

Being tongue-tied is a common phrase that implies one can not speak due to a loss of words. But being tongue-tied is also a real medical condition that is a well known congenital oral defect known as ankyloglossia. It occurs when the attachment of the tongue (lingual frenulum)) is unnaturally short. The lingual frenum is Read More…

The Three Types of Infraorbital Rim Implants

The undereye area has become a focus of aesthetic attention for the management of tear troughs and hollows. Some of these occur as a result of aging and others have a more congenital origin which then becomes more apparent with aging. Treatment for aesthetic under eye issues is fundamentally about adding volume. Injectable fillers and Read More…

Female Jawline Augmentation in the Aging Face

Jawline augmentation has traditionally been thought of as male procedure. Envisioning a defined and strong jawline is a well known facial feature that has historically implied masculinity and a strong personality. But in today’s world a good jawline is no longer gender specific. Many women of all ages (although more so in younger than older Read More…

Subcostal Rib Removal Through a Tummy Tuck Approach

The ribs constitute the structural support for the trunk. It plays a vital role in how the lungs work and in the support and protection of many other vital organs. This statement applies to much of the upper ribcage but does not necessarily apply to every aspect of every rib throughout their full lengths around Read More…

Computer-Designed Synthetic Frameworks in Ear Reconstruction

Reconstruction of lost or congenitally malformed ears requires the combination of a solid framework and soft tissue coverage of it. Two techniques for making a framework for the ear have been developed over the years. By history and still commonly used today is to make the framework by harvesting and assembling rib cartilage grafts. While Read More…