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Zygomatic Arch Implants and the High Cheekbone Look

  The zygomatic arch is the part of the cheekbone that extends back to the temporal bone in front of the ear. It is a thin bone and serves and looks like a bridge, allowing the temporalis muscle to pass underneath it. It can be thought of as the side of the cheekbone.  While it Read More…

OR Snapshots – The Open Rhinoplasty

Rhinoplasty surgery requires incisional access to perform osteocartilaginous reshaping. The most common historic technique was the ‘closed approach’ where all incisions were placed inside the nose. Because this provided limited visual access it took a lot of experience to master aesthetic nasal surgery. This was the standard in rhinoplasty until the 1990s were it was Read More…

Plastic Surgery Case Study – Older Female Jaw Angle Implants

Background: The strength of the lower jaw is a known favorable feature for a male. But it has become increasingly desired and requested for women as well. Partially spurned on by various well known celebrities and actresses’ jaw shapes, younger women are seeking stronger jawlines as well. An important part, and until recently overlooked, of Read More…

OR Snapshots – The Bifid Nasal Tip Rhinoplasty

The shape of the nose amongst people is as different as that of fingerprints. Between the innumerable size and thicknesses of the bone and cartilage that make up the nose and its thick or thin skin cover, the variability in nose shapes is endless. What rhinoplasty can do is to change the shape and thicknesses Read More…

Rhinoplasty using ePTFE Nasal Implants

Augmentation of the nose can be done by a variety of rhinoplasty techniques and materials. When possible, one’s own cartilage is always the best from a biologic standpoint and is preferred if it can provide a satisfactory aesthetic outcome. The use of septum, ear and rib cartilages offer a wide variety of graft choices that Read More…

OR Snapshots – The Abdominal Panniculectomy (Apron Removal)

The abdominal panniculectomy procedure is well known to be a ‘big’ operation. It is the supersized version of the traditional tummy tuck and is often judged by the weight of the pannus removed. The largest abdominal pannus I have ever removed is 85lbs and that was back in the pre-bariatric surgery era…when the abdominal panniculecomy Read More…

OR Snapshots – Injectable Diced Cartilage Grafting Technique

Rib grafts are a well known autologous graft in rhinoplasty for significant augmentation. The rib graft can be used as either a solid piece (en bloc) or can be diced into very small cubes and turned into a sausage-like wrap. Both rib graft methods have their advantages but the diced technique effectively eliminates any chance Read More…

Plastic Surgery Case Study – Male Middle Eastern Rhinoplasty

Background: The shape of the nose is incredibly diverse and no two people have the exact same nose.  But in the world of rhinoplasty surgery, noses are lumped into different categories based on ethnicities. In general any rhinoplasty that is not performed on a Caucasian nose is called an ethnic rhinoplasty. One such ethnic rhinoplasty Read More…

OR Snapshots – Aesthetic Temporal Artery Ligations

Prominent bulges in the temporal region are almost always caused by the temporal arteries. The superficial temporal artery comes off the facial artery in the neck and courses upward in front of the ear. Once it reaches a typical landmark point of 1 cm in front of the ear and 2 cms about that point, Read More…

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