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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…

The Subplatysmal Necklift – The Complete Anatomic Approach To All Layers of the Neck

Reshaping the congenitally full neck or one that is drooping due to age is a common facial reshaping/rejuvenation procedure.While the aging neck is frequently thought of as due to loose skin, the naturally full neck is recognized as having deeper tissue problems than just skin. Both the origins of a low hanging neck and the 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…

Plastic Surgery Case Study – Hydroxyapatite Cement Forehead Augmentation

Background: The shape of the forehead is very gender specific. Men have foreheads with distinct brow bone prominences, a visible brow bone break and a forehead that slopes somewhat less than vertical above it. Conversely females have no distinct brow bone, have a rounded or more convex forehead shape that ideally has a near vertical Read More…

OR Snapshots – Diced Rib Graft Rhinoplasty

A significant build-up of the nose requires a combination of bridge and tip augmentation. In primary rhinoplasty this is usually needed in many ethnic patients who lack nasal projection from the face. This may also be required in revision rhinoplasty when over reduction has been done from a prior procedure. In such cases the key Read More…

Clinic Snapshots – The ‘Good Riddance’ Abdominal Panniculectomy

Cosmetic surgery of the abdomen and waistline is one the most common body contouring surgeries for either women or men. Women in particular are inclined to undergo these surgeries as they are victims of a lot of body changes from pregnancy and/or weight gain/loss. Liposuction and tummy tucks make up the bulk of these surgeries Read More…