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Plastic Surgery Case Study – Abdominal Implants in the Male Tummy Tuck Patient

Background: The appearance of an ultra fit abdomen is the ability to see the outline of the rectus muscles. While the rectus muscle is vertical in orientation it is sectioned into quadrants by horizontal tendinous fascial bands known as inscriptions. There are three in number usually located across the belly button inferiorly, the xiphoid process Read More…

Plastic Surgery Case Study – Custom Infraorbital-Malar-Maxillary Implants after Aesthetically Unsuccessful Modified LeFort III Osteotomy

Background: Augmentation of aesthetic facial deformities are common procedures of which the lower third of the face (chin and jaw) is the most common. Augmentations of the upper two-thirds of the face is also done although lesser in number with the middle third of the face (cheeks, midface) being done more often than the upper Read More…

Plastic Surgery Case Study – Custom Skull Implant for Correction of Flat Back of Head with Crater Indentation

Background: The back of the head is prone to the greatest frequency of aesthetic shape deformations. This is no surprise given that the back of the head is exposed to the greatest amount of external forces from how the fetus lays in utero to how the baby lays after birth and beyond. When this is Read More…

Plastic Surgery Case Study – Secondary Placement of Custom Superolateral Onlay Periorbital Implants

Background: The periorbital rim of bone around the eye can be aesthetically augmented but how it can be done is not well known. The only standard orbital rim implant is the tear trough implant, a limited spot implant of the infraorbital rim. Its original use was to treat an external indentation at the inner half Read More…

MZ Cat Eye Lifting

Brow lift surgery has been around for over a half century and numerous techniques have been described in how to perform it. Regardless of the technique used the fundamental approach has been differences in how the technique is applied based on gender. The differences in the shape of the female vs male eyebrow shape is Read More…

Plastic Surgery Case Study – Buttock Implant Replacements for Size Increase – How Much More Can Be Secondarily Achieved?

Background: Implants remain the definitive buttock augmentation procedure when fat grafting (BBL surgery) has ‘failed’ or there are inadequate fat stores to harvest. While implants provide an assured volume outcome their long-term success (lack of immediate or relayed complications) is highly dependent on the tissue pocket in which it was placed. As a general rule Read More…

Technical Strategies – Forehead Horn Reductions Through A Frontal Hairline Approach

The forehead is usually thought of as having a broad flat surface but in reality its topography is a bit more complex. Its shape varies amongst men and women but the one feature that is consistent is the projection of the upper forehead should not exceed that of the lower half of the forehead. Such Read More…

First Stage Scalp Expander Technique in Large Custom Skull Implant Augmentations

The use of a scalp tissue expander is a critical first step in the large skull implant augmentation patient. Since the scalp is a tightly adherent soft tissue envelope that surrounds all five sides of the skull it has a limited ability to stretch to accommodate an expanded cranial contour using an implant underneath it. Read More…

Plastic Surgery Case Study – Female Back of the Head Custom Skull Implant

Background: The greatest aesthetic head shape deficiency in females is on its posterior surface or the back of the head. While commonly referred to as the occiput this is anatomically inaccurate. The back of the head is composed of multiple skull bones of which the singular occipital bone makes up only the lower half. The Read More…

Plastic Surgery Case Study – Custom Back of the Head Skull Implant with Scalp Roll Excision

Background: The back of the head is unique in many ways but is the only skull surface that can have bone and scalp aesthetic deformities. The back of the head can have bony protrusions such as occipital knobs and buns as well as a wide variety of bony flattening and asymmetry shapes. Excess scalp can Read More…