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The Role of Rhinoplasty in Facial Feminization Surgery

Facial feminization surgery changes the structure of the male face to appear more feminine. While procedures from the skull down to the trachea exist to make these modifications, nose reshaping is one of the mainstay operations. That is not only because it sits in the middle of the face but because it has distinct gender Read More…

OR Snapshots – Septal Graft Dorsal Augmentation Rhinoplasty

Augmentation of the nose can be successfully done by a variety of materials. While each autologous and alloplastic material has their own advantages and disadvantages, one’s own cartilage will always have the superior biologic edge. While cartilage is from one’s own body and is well accepted like all other autologous grafts, it has the unique Read More…

OR Snapshots – Placement of Subfascial Temporal Implants

Augmentation of the temporal region of the face has become popularized through the use of injectable synthetic fillers and fat. While such injectable treatments can be successful, they can be plagued by unpredictability of volume retention and the need for ongoing treatments. Like it is anywhere else on the face where aesthetic bone augmentation is Read More…

OR Snapshots – Forehead Augmentation with Hydroxyapatite Cement

The forehead occupies a third of the visible face. Because it does not have any topographic features that draw one’s attention to it like other parts of the face, its broad non-remarkable surface is not an immediate eye-catcher. But despite being relatively bland, the sheer size of the forehead does play a role in aesthetics Read More…

Plastic Surgery Case Study – Lower Rib Removals for Maximal Horizontal Waistline Reduction

Background: Rib removal is a body contouring procedure for which there is much misinformation. It is a real surgical procedure that is done for numerous aesthetic reasons, one of which is reduction of the waistline. This is reduction of the anatomic waistline which is located at the level of the belly button and not that Read More…

Plastic Surgery Case Study – Custom Skull Implant for Increasing the Height and Shape of the Top of the Head

Background: The top of the head usually has a slightly convex shape between the temporal lines that border its sides. This normal superior skull shape can be altered during development and often occurs by how the midline sagittal suture develops and grows. In many cases of undesired superior skull shapes, the sagittal suture line becomes Read More…

Plastic Surgery Case Study – Breast Implant Reconstruction in Poland’s Syndrome

Background: Poland’s syndrome is a well recognized congenital body deformity that affects the chest wall and upper extremity. It is almost always affects just one side of the body, most commonly the right side, and affects men more than women. There is a hypoplasia of the chest muscle in both men and women and lack Read More…

Plastic Surgery Case Study – Buffalo Hump Reduction with Power-Assisted Liposuction

Background: The accumulation of fatty tissue at the back of the neck is a well known side effect from certain HIV medications. One of these lipodystrophic sites is the cervicodorsal region where abnormal fat distributions can occur. Because of its raised area below the back of the head it has been given the moniker of Read More…

OR Snapshots – Rib Removal Surgery for Waistline Slimming

Rib removal is most commonly known for its effect on helping reduce the anatomic waistline or waistline slimming . Usually the ribs that are partially removed (outer halves) are #s 11 and 12. This is because these are the true free floaters and are pointed 45 to 60 degrees straight downward. Once one realizes the Read More…

Plastic Surgery Case Study – Much Larger Breast Implant Replacements

Background: Breast implants are often perceived as one-time lifelong devices. But this is the exception and not the rule. Depending upon the age at which they were placed, breast implants are often replaced at some point in a woman’s life. (and in more rare cases even removed) They are numerous reasons for why breast implants Read More…