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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…

Plastic Surgery Case Study – Large Cankle Liposuction

Background: Undesirable fat collections around the body, medically known as lipodystrophy, are usually caused by excess calories and results from their storage. But in some people and in certain locations of the body, fatty collections are more congenital in origin and are aggravated by weight gain. Even at a patient’s ideal weight these fat collections Read More…

Plastic Surgery Case Study – Breast Augmentation in the Asymmetric Breast Patient

Background: While few women have symmetric breasts, it is not rare that many breast augmentation patients expect symmetric looking breasts after surgery. This common expectation has led to the plastic surgery phrase ‘breasts are sisters and not twins’, which is usually provided as part of the preoperative counseling. While most breast asymmetries are caused by Read More…

Plastic Surgery Case Study – Otoplasty in the Asian Female

Background: The most common congenital malformation of the external ears is that of excessive protrusion. Technically defined as the auriculo-cephalic angle, how open this angle is defines creates the appearance of ears that stick out too far. While the normal angle is up to 30 degrees, what really counts is the patient perception of their Read More…