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Correction of the Deep Labiomental Fold with Release and Tissue Grafting

The labiomental fold is the natural indentation that exists between the lower lip and the chin. It resides about 1/3 of the vertical distance between the lip and chin and is present in almost everyone to some degree. While called a fold, it is not really a fold but an indentation that is reflective of Read More…

OR Snapshots – Zygomatic Arch Implants for Lateral Midfacial Width/Prominence

Cheek implants are a well recognized form of facial augmentation that has been used for decades. By placing an implant on the cheekbones a permanent midfacial augmentation effect can be achieved. But cheek implants are not just one style or size fits all. There are over a half dozen styles of cheek implants designed to Read More…

OR Snapshots – Split Custom Jawline Implant Insertion Method

Augmentation of the jawline can be done by a variety of implanted materials. While recent trends in plastic surgery have focused on using injectable fillers and fat for many forms of facial augmentation, this is not a particularly successful treatment strategy for the jawline. Most jawline shape changes, particularly in men, call; for a more Read More…

Lip Augmentation with SMAS Facial Tissue Transfer

Lip augmentation has been done by a seemingly endless numbers of materials and implants. Each one differs in its length of duration and potential side effects. Injectable fillers are by far and way the most popular method but they have only a limited duration of effect. Permanent lip fillers can be done by implants or Read More…

OR Snapshots – Rhinoplasty with Septal Cartilage Graft

One of the fundamentals principles in rhinoplasty is the use of cartilage grafts. Since much of the nose is composed cartilage, its reconstruction or aesthetic augmentation is often done using cartilage grafts. There are three harvest sources of cartilage in rhinoplasty including the nose itself (septum), the ear and the ribs. The septum is Read More…

Plastic Surgery Case Study – Three Piece Standard Chin and Jaw Angle Implant Augmentation

Background: Creating a stronger male jawline can be done by a variety of methods, most of which are done by permanent implants. While many plastic surgeons still think that the approach to a better jawline comes from chin implant augmentation alone, that approach excludes any consideration of the back of the jaw which makes up Read More…

OR Snapshots – Large Custom Skull Implant and The Need for Adequate Scalp Coverage

Skull augmentation is an essential procedure in aesthetic skull reshaping surgery. While onlay cranioplasty (aka skull augmentation) can be done by using a variety of synthetic materials, larger expansions of the skull’s outer surface are most reliably done using 3D custom implant designs. Using the patient’s 3D CT scan, a custom skull implant can Read More…

OR Snapshots – Large Lipoma Excision of the Shoulder

Lipomas are the most benign soft tissue tumor. They are easy to identify by examination as they are circular, slightly mobile and are located right under the skin. Almost no matter what size they grow to they are generally painless. The vast majority of lipomas are fairly small and 1 cm or less in size. Read More…

Necklift Technique with Complete Platysmal Transection

One of the most common features of the aging process is sagging of the neck. When more advanced the central neck become a repository for loose skin, fat and and the appearance of platysmal banding. While platysmal banding is part of every aging neck, it is usually only seen well in thinner necks with less Read More…

The Recovery Process from Custom Facial Implants

The decision to undergo surgery with a custom facial implant for aesthetic facial augmentation is an exciting change. Like all elective surgeries, there is a recovery process before the patient will finally see the results of the implant design and surgical placement efforts. This is a predictable process that always involves more swelling than Read More…