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OR Snapshots – Rhinoplasty with Septal Cartilage Graft

One of the fundamentals principles in rhinoplasty is the use of cartilage grafts. Since much of the nose is composed cartilage, its reconstruction or aesthetic augmentation is often done using cartilage grafts. There are three harvest sources of cartilage in rhinoplasty including the nose itself (septum), the ear and the ribs. The septum is Read More…

Plastic Surgery Case Study – Three Piece Standard Chin and Jaw Angle Implant Augmentation

Background: Creating a stronger male jawline can be done by a variety of methods, most of which are done by permanent implants. While many plastic surgeons still think that the approach to a better jawline comes from chin implant augmentation alone, that approach excludes any consideration of the back of the jaw which makes up Read More…

OR Snapshots – Large Custom Skull Implant and The Need for Adequate Scalp Coverage

Skull augmentation is an essential procedure in aesthetic skull reshaping surgery. While onlay cranioplasty (aka skull augmentation) can be done by using a variety of synthetic materials, larger expansions of the skull’s outer surface are most reliably done using 3D custom implant designs. Using the patient’s 3D CT scan, a custom skull implant can Read More…

OR Snapshots – Large Lipoma Excision of the Shoulder

Lipomas are the most benign soft tissue tumor. They are easy to identify by examination as they are circular, slightly mobile and are located right under the skin. Almost no matter what size they grow to they are generally painless. The vast majority of lipomas are fairly small and 1 cm or less in size. Read More…

Necklift Technique with Complete Platysmal Transection

One of the most common features of the aging process is sagging of the neck. When more advanced the central neck become a repository for loose skin, fat and and the appearance of platysmal banding. While platysmal banding is part of every aging neck, it is usually only seen well in thinner necks with less Read More…

The Recovery Process from Custom Facial Implants

The decision to undergo surgery with a custom facial implant for aesthetic facial augmentation is an exciting change. Like all elective surgeries, there is a recovery process before the patient will finally see the results of the implant design and surgical placement efforts. This is a predictable process that always involves more swelling than Read More…

The Healing and Maturation of Breast Lift Scars

Breast lifting is often needed in breast augmentation surgery when the nipples sits at or below the level of the inframammary fold. While there are four different types of breast lifts, the most effective of them involve the excision and tightening of skin beyond the areola on the lower pole of the breast. Breast lifts Read More…

OR Snapshots – Direct Necklift for Older Turkey Neck Removals

Significant aging of the neck is most commonly treated by a neck lift, also known as a lower facelift. While earlier signs of neck sagging/fullness may be treated by liposuction and other more limited procedures, true neck wattles can only be treated by more traditional and aggressive approaches. A lower facelift/necklift repositions the hanging neck Read More…

Choosing Widening vs Vertical Lengthening Jaw Angle Implant Styles

The development of new jaw angle implant styles has finally allowed augmentation of the back part of the jaw to get caught up with that of the chin. The jaw angles have been overlooked for a long time as implant styles and sizes of the chin have progressed. With the chin and jaw angle implant Read More…

OR Snapshots – Premaxillary Osteotomy for Anterior Upper Jaw Protrusion

Orthognathic surgery is a well known type of bone procedures that move the upper and lower jaws to improve one’s bite (occlusion) as well as improve jaw relationships to the face. It is done on the upper and lower jaws with the mainstay procedures of a LeFort I osteotomy (upper jaw) and sagittal split ramus Read More…