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Dermal Fat Grafting To Improve the Stiffness of Medpor Ear Reconstructions

Microtia is a congenital condition where all or major parts of the ear are missing. Two methods of microtia reconstruction have evolved using either one’s own ribs or through the use of a synthetic framework. Autologous microtia reconstruction is done to using portions of the cartilaginous #7, 8 and 9 ribs to create the base Read More…

Removal of Male Tragus Hair by Flap Elevation and Follicular Cauterization

Hair that grows on the ear is a well known phenomenon amongst men as they age. Often joked as hair that has migrated from the scalp, it appears as outcroppings of black hair from various parts of the ear. The greatest concentrations appear on the earlobes, helix and, interestingly, the tragus. Often ear hair is Read More…

Custom Orbitozygomatic (Infraorbital-Malar) Implants in the Treatment of Facial Asymmetry

Facial asymmetry is common and it is often said that everyone has some degree of it. While this is true, more significant facial asymmetries are not common and are a source of frequent patient self-esteem issues. In significant facial asymmetries the entire face is affected from the brow down to the jawline. The affected side Read More…

Technical Strategies – Intraoral Fixation for Nasal Flaring During Smiling

Smiling is the single most important facial expression. It takes a lot of facial muscles to smile and their pull causes surrounding facial structures to move beyond that of just the lips. The superiorly positioned nose can move when one smiles as the upper lip elevates. The flexible tip of the nose is what can Read More…

Plastic Surgery Case Study – Custom Skull Implant for Male Occipital Plagiocephaly

Background: Plagiocephaly is a well known congenital condition that results in a variety of craniofacial skeletal malformations. One of the most consistent findings is that of flatness of the back of the head. This flatness occurs as a result of the overall twisting rotation of the skull around its vertical axis. The flatness on one Read More…

Tummy Tuck Approach for Subcostal Rib Removals

The most perceived reason that rib removal surgery is performed is for narrowing of the anatomic waistline. This is done by removing portions of ribs 11and 12 and sometimes even rib #10. This operation works because it removes the outward support of the musculature that occurs from the very downward projecting terminal 11 and 12 Read More…

Plastic Surgery Case Study – Male Custom Bicep Implants

Background: Most body implants are done for muscular enhancement. The only exception is that of the female breast implant. In augmenting the muscle size, it is usually most effective if the implant is placed on top of the muscle under its fascial lining. This is certainly true for muscular augmentations that are on the extremities Read More…

Plastic Surgery Case Study – Thick Skinned Revision Rhinoplasty

Background: Rhinoplasty involves changing the nasal shape through changes in the underlying bone and cartilage support. The only location for skin removal in a rhinoplasty is when the nostril width is reduced through various patterns of tissue excision.Thus in the large nose any reductive efforts and their results are heavily impacted by how well the Read More…

Plastic Surgery Case Study – Male Forehead Horn Reduction

Background: The shape of the frontal skull bone known as forehead is an important aesthetic facial feature. Since the forehead occupies one-third of the visible face it is not surprising that it has significant aesthetic value even though it seems like it is just a flat a amorphous structure. In reality there are very distinct Read More…

Plastic Surgery Case Study – Vertical Back Lift for Torso Narrowing

Background: The excision of loose skin and fat through a variety of lifting are common body contouring procedures. While usually done after large amounts of weight loss, many such excisional procedures are done for the abdomen, waistline, chest, arms and thighs. Back lifts are also done and have been described as braline lifts, back roll Read More…