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Plastic Surgery Case Study – Upper Ear Vertical Reduction

Background: Vertical reduction of the ear is an uncommon otoplasty procedure as it is infrequently requested. It is best known and used in the treatment of macrotia where the entire ear is very large and vertically long. Macrotia reduction most commonly uses a ‘high and low’ technique where the upper helix (high) and the earlobe Read More…

Cupid’s Bow Reduction of the Upper Lip

Unlike the lower lip the shape of the upper lip is marked by the cupid’s bow area. Occupying the central third of the upper lip, its two raised peaks at the end of the philtral columns create a double bow effect. This lip feature is well known and has the cupid’s bow name because its Read More…

The Ladder Technique in Temporal Artery Ligations

Unaesthetic bulging vessels in the temporal region at the side of the forehead are caused by the anterior branch of the superficial temporal artery. Why it gets enlarged is not precisely known although it appears to occur almost exclusively in men. Its enlargement is clearly related to increased blood flow as the vessel becomes most Read More…

Bony Overgrowth of Jaw Angle Implants

Jaw angles implants are becoming increasingly popular for their jawline augmentation effects. Different styles of jaw angle implants allow for a variety of posterior jawline effects from widening, lengthening and combinations thereof. Like a chin implant they are placed in the subperiosteal submuscular position at the back of the jaw. The difference in jaw angle Read More…

Plastic Surgery Case Study – Total Skull Implant with Onlay Bone Cement Augmentation

Background: There are many procedures that can be done to rebuild the skull including bone replacement and external bone reshaping. (cranioplasty) With today’s computer technology large segments of the skull can be replaced by a variety of materials including HTR, PEEK and PEKK materials. While there are surgeon advocates for all of these materials, I Read More…

Plastic Surgery Case Study – Large Breast Implants with Vertical Lift

Background: Breast sagging can be treated by either the use of a lift or an implant. A lift works by removing sagging skin and physically moving the nipple upward. Any lifting effect of an implant comes from tissue expansion with an outward and upward push. In many cases of breast sagging both a lift Read More…

Technical Strategies – The Pretrichial Temporal Browlift for Tail of the Brow Elevation

The position of the eyebrows on the brow bones over the eyes plays a major role in facial expression. Low eyebrows can convey an impression of anger or tiredness. Conversely, high eyebrows can make one look surprised or very wide-eyed/alert. But beyond facial expression there are some basic gender differences in their shape as well. Read More…

Plastic Surgery Case Study – Facial Artery Ligation for Prominent Pulsations

Background: Prominent blood vessels on the face, while common, are not usually a source of cosmetic concern. By far the most common location of blood vessel visibility is in the forehead. Prominent arteries in the temporal region and side of the forehead as well as more central forehead veins can be seen in both men Read More…

Plastic Surgery Case Study – Custom Skull Implant for Head Widening

Background: Aesthetic skull augmentation can be done for a wide variety of deficient skull shape concerns. Changes can be made in skull height, skull width and frontal and posterior skull projection. In rare cases and with the use of a first stage scalp tissue expander, the entire skull can be augmented through a circumferential effect. Read More…

Plastic Surgery Case Study – Tracheostomy Scar Revision with Dermal-Fat Graft

Background: A tracheostomy is a life-saving airway procedure. Done from infancy to seniors it is the introduction of a breathing tube through the midline neck skin into airway to bypass whatever obstruction lies above it. The breathing may be left in a matter of days dependent on the medical condition it is treating. When it Read More…