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OR Snapshots – The Buccal Lipectomy Zone

The buccal fat pad is the only completely encapsulated fat collection in the face. Besides its capsule it is a unique piece of fat anatomy as it is a distinct pad that has a well identified vascular pedicle providing its main blood supply. Because it is an easily found and removed piece of facial anatomy Read More…

The Custom Midface Implant and Its ‘LeFort-Like’ Effect

  The LeFort osteotomy is the well known of all facial osteotomies and is used to correct midface retrusion. In its most commonly used form, the  LeFort I osteotomy, it is named after the fracture pattern originally described by Rene LeFort over one hundred years ago in that cuts are made across the maxilla above Read More…

Plastic Surgery Case Study – Occipital Scalp Roll Excision

Background:  The scalp is a remarkably thick and well vascularized tissue as it covers the entire skull surface. Its thickness, however, varies at different areas of the skull. It is the thickest on the back of the head where it blends into the posterior neck tissues. The base of the occipital skull also ends up Read More…

Aesthetic Vertical Orbital Dystopia Correction Strategies

  Vertical orbital dystopia is a frequent feature of many facial asymmetry patients. When facial asymmetry affects the midface region most of the time some form of globe dystopia will be present. It is perceived most easily by the difference in the horizontal level of the pupils. Orbital dystopia is always most clearly seen in Read More…

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