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Postoperative Instructions – Rib Removal Surgery

Rib removal is done for waistline reshaping. This could be for waistline narrowing (posterior ribs #10, 11 and 12) or for waistline lengthening or correction of subcostal protrusions. (ribs #7, 8, 9) Rib removal is done through small incisions on the back or at the bottom of the ribcage in front. (and occasionally through a Read More…

Revisional Custom Jawline Implant Surgery

The most dramatic and successful augmentation of the entire lower third of the face is best done in most patients by a custom jawline implant. Such an implant is made from a 3D CT scan of the patient. Inserted as a single piece implant that augments the lower face from jaw angle to jaw Read More…

Plastic Surgery Case Study – Hispanic Breast Augmentation

Background: Breast augmentation is a common body contouring procedure. Of the many pictures of breast augmentation results on the internet, the vast majority are of Caucasian type. The main difference with Hispanic or Latin women is their increased propensity to develop dark pigmentation at incision/scar sites. While they almost never develop hypertrophic or keloid scars, Read More…

Outcome Assessment of Facial Feminization Surgery

Facial feminization surgery (FFS) is well recognized collection of hard and soft tissue reshaping procedures. While most commonly seen as a transgender procedure, it is also done for non-transgender females who have more masculine facial features. While it is unknown how many such FFS procedures are performed around the world, it is very clear that Read More…

Short Scar vs Full Incisional Facelift

Facelift surgery is far from a homogenous procedure. Since its introduction over one hundred years ago there have been a large number of facelift techniques used, all claiming some aspect of superiority in either results or recovery. Despite claims from many surgeons, little scientific evidence exists that supports the superiority of one facelifting technique over Read More…

Plastic Surgery Case Study – The Cleft Septorhinoplasty

Background: The well known congenital cleft lip and palate deformity affects much more than its name alone indicates. Affected as much as the lip is the nose from its internal breathing structures to its external appearance. While the nose in the cleft patient may be treated during surgery as an infant or child, these early Read More…

Volume Comparison of Cheek Implants vs Injectable Fillers

Cheek augmentation is a common facial reshaping procedure that is done for both aesthetic enhancement and volume restoration due to aging. It is the one facial procedure that, while historically only done with cheek implants, is now done more often by injection methods using synthetic fillers or fat. The emergence of injectable methods is now Read More…

HALO The Hybrid Fractional Laser Resurfacing Method

Facial laser resurfacing traditionally consist of two fundamental approaches, a fully ablative surface treatment or a deeper fractional method. Fully ablative laser resurfacing creates extended downtimes but fewer treatments are needed. Conversely, fractional laser resurfacing is associated with less downtime but requires more treatments. The newest generation of non-ablative fractional lasers, which coagulate tissues instead Read More…

Surgical Correction of the Constricted Ear Deformity

One of the major types of congenital ear deformities is that of the constricted ear. It is estimated that it represents about 10% of all congenital ear deformities. It is a variable ear deformity that has been described by multiple classification systems (e.g. Tanzer, Cosman, Ngata) with associated surgical strategies based on its classification. The Read More…

Volume Comparison of Chin Implants vs Injectable Fillers

Chin augmentation is a common aesthetic facial reshaping procedure that is second only to rhinoplasty. It has been traditionally performed by the placement of a preformed implant. While many different chin implant styles have been used over the years, the basic concept of an alloplastic chin augmentation is the same. The emergence of injectable methods Read More…