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OR Snapshots – Rib Graft MIcrotia Ear Reconstruction

The ear is composed of two basic structures, cartilage and skin. The cartilage component of the ear is considerable as only the earlobe is not supported by it. The cartilage is solely responsible for the very complex shape of the ear with its many hills, valleys, ridges and curves that are seen externally. How it Read More…

OR Snapshots – Temporal Implants Placed Through a Browlift Approach

Temporal augmentation has become a popular facial area of augmentation due to injectable fillers and fat. While these injectable methods offer a non-surgical treatment method, their volume retention and smoothness of contour is far from assured. Temporal implants offer a facial augmentation method that is both permanent and straightforward to place. It is an implant Read More…

Plastic Surgery Case Study – Intramuscular Placement of Buttock Implants

Background: Buttock implants are the alternative to the more popular BBL (Brazilian Butt Lift) procedure which uses fat injections to create the augmentation effect. The use of fat for buttock augmentation is preferred and should always be the first consideration as it is a natural material and has a very low risk of complications. But Read More…

Plastic Surgery Case Study – Incorporating Earlobe Reduction in Facelift Surgery

Background: Facelift surgery is one of the most recognized of all the facial rejuvenation operations. There are a lot of misconceptions about what a facelift is and what it can accomplish. But at its fundamental core it improves the lower face by relocating loose skin from the neck and jowls up and back towards the Read More…

OR Snapshots – The Downward Angulation of the Lower Ribs in Rib Removal Surgery

Rib removal is an effective surgery for anatomic waistline reduction. It is reserved for those women who have tried every other non-surgical and surgical method to narrow their waistlines and are seeking the last resort to do so. It is clearly for the most motivated of women who are willing to accept small back scars Read More…

OR Snapshots – Brow Bone Reduction by Burring

Brow bone reduction is useful for both men and women who have frontal sinus development that creates an unaesthetic appearance. It is far more commonly done in men whether it be for reduction of very prominent brow bone protrusions or as part of an overall facial feminization surgery for male to female transgender patients. In Read More…

Plastic Surgery Case Study – Combining Custom Skull Implant withSagittal Ridge Reduction for Major Head Shape Change

Background: The shape of one’s skull is determined by numerous factors. But the most important two are the cranial sutures and the underlying expanding brain. The sutures permit the growing brain to increase in size without constriction by a tight overlying ‘bone box’. These sutures are strategically placed to allow a circumferential expansion of the Read More…

The Role of Rhinoplasty in Facial Feminization Surgery

Facial feminization surgery changes the structure of the male face to appear more feminine. While procedures from the skull down to the trachea exist to make these modifications, nose reshaping is one of the mainstay operations. That is not only because it sits in the middle of the face but because it has distinct gender Read More…

OR Snapshots – Septal Graft Dorsal Augmentation Rhinoplasty

Augmentation of the nose can be successfully done by a variety of materials. While each autologous and alloplastic material has their own advantages and disadvantages, one’s own cartilage will always have the superior biologic edge. While cartilage is from one’s own body and is well accepted like all other autologous grafts, it has the unique Read More…

OR Snapshots – Placement of Subfascial Temporal Implants

Augmentation of the temporal region of the face has become popularized through the use of injectable synthetic fillers and fat. While such injectable treatments can be successful, they can be plagued by unpredictability of volume retention and the need for ongoing treatments. Like it is anywhere else on the face where aesthetic bone augmentation is Read More…