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Early Nose Appearance after Rhinoplasty Dressing Removal

Rhinoplasty is the most common facial reshaping procedure with a long and rich surgical history. While techniques for reshaping the nose have changed and evolved over the years, the one issue that has persisted is the need for some form of postoperative compression. It is viewed as an essential element of the surgery and can Read More…

Plastic Surgery Case Study – Hydroxyapatite Cement in Pediatric Skull Reconstruction

Background: Skull defects occur in children for a variety of reasons. But one of the most common causes is early surgery for congenital skull deformities. When reshaping large portions of the skull their complete healing depends on the natural osteogenic capability of the underlying dura. This is usually very robust at very young ages but Read More…

OR Snapshots – Sliding Genioplasty with Chin Implant Overlay

Chin augmentation can be done through either placing an implant on top of the bone or moving the actual bone forward. Both are valid chin enhancement techniques and each has their own unique advantages and disadvantages. While there are strong surgeon advocates for both techniques, it is important to remember that not every patient is Read More…

Subfascial Placement Technique for Calf Implants

Calf augmentation is one of the most infrequently performed of all body contouring procedures. Part of the reason for its low rate of performance is patient demand. The other reason is that most plastic surgeons are uncomfortable performing the procedure having never seen it done or been trained to do it. The widespread use of Read More…

OR Snapshots – Subcostal Rib Removal through a Tummy Tuck Approach

Rib removal is done for a variety of waistline concerns. Such concerns must be divided into anterior and posterior aesthetic waistline issues. The most common perception of the aesthetic benefits of ribs being removed is for horizontal waistline reduction where ribs #10, 11 and 12 may be reduced through a posterior or back approach. `This Read More…

Plastic Surgery Case Study – Custom Implant for Vertical Orbital Dystopia

Background: Few faces are perfectly symmetric and most of us have some noticeable differences between the right and left sides. Such facial side differences are usually well tolerated or may not even be known. We all recognize that ‘no one is perfect’ and everyone has a little bit of facial asymmetry which is seen within Read More…

Clinic Snapshots – TMJ Arthroplasty Scar

Dysfunction of the temporomandibular joint (TMJ) is one of the most common causes of head and neck pain. Inside the joint is a working relationship between the condylar head (ball) and the glenoid fossa (socket) which is separated by a meniscus or disc. This thick fibrous structure allows the ball of the joint to rotate Read More…

Plastic Surgery Case Study – Hanging Columella Correction Rhinoplasty

Background: The columella is the strip of skin and cartilage between the nostrils. It provides a smooth connection between the tip of the nose and the upper lip. Its shape is controlled by the cartilages which run within the skin as well as the septum behind it. A ‘good’ columella is really one that does Read More…

The Anatomy of Aesthetic Temporal Artery Ligation

Temporal artery ligation has been a surgical procedure done for decades. It has been historically used as a medical procedure to diagnose temporal arteritis as a biopsy technique. In this operation a section of the anterior branch of the superficial temporal artery is removed behind the front edge of the temporal hairline. More recently, temporal Read More…

Concepts in Female Jawline Augmentation

The presence of a discernible chin has always been an important aesthetic feature of the lower face in both men and women. While the desired amount of projection will vary between the genders, it is clear that having some chin projection is better than having little or none. While the chin has always been perceived Read More…