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Technique of Alar Wedge Nostril Narrowing

Rhinoplasty can change most features of the nose through well known bone and cartilage manipulation maneuvers. There are very few soft tissue procedures that can be done to make nasal shape changes. The one nasal shape soft tissue change that can be done is that of the nostrils. The shape of the nostrils is controlled Read More…

What Makes for a Natural Breast Augmentation?

One basic preoperative concept of breast augmentation has taken on a contemporary approach of tissue-based planning. Such an approach strives to achieve a ‘natural breast augmentation’ result by not overwhelming the breast tissues with implants that are more than the tissue can accommodate. By having good tissue support for the implant there is a lower Read More…

Volume Comparison Between Nasal Implants vs Injectable Fillers

Augmentation of the nose is a frequent element in many rhinoplasty procedures. While the use of locally harvested cartilage grafts works in may cases, more significant augmentations of the dorsum require different volume addition techniques. The choices for major dorsal augmentation rhinoplasty for Asian and African-American patients, for examples, is either that of a nasal Read More…

Plastic Surgery Case Study – Male Transpalpebral Browlift for Periorbital Rejuvenation

Background: Aging effects the periorbital region through changes in the eyelids as well as the brows. Descent of the brows is a common feature of it but has aesthetic gender differences. Because men have a naturally lower and non-arched brow, some degree of brow sagging is much better tolerated in men than women. Unlike women, Read More…

Plastic Surgery Case Study – Pediatric Reversal Otoplasty

Background: Otoplasty is the most form of ear reshaping surgery. Even though the term otoplasty is a general one it is typically associated with treating the protruding ear. The ear that sticks out is due to excessive conchal cartilage, lack of an adequate antihelical fold or both. Changing this undesired ear shape is done by Read More…

Plastic Surgery Case Study – Transgender Rib Removal Surgery for Male to Female Body Contouring

Background: Rib removal surgery is commonly associated with waistline reduction through removal of portions of ribs #11 and 12. (and sometimes #10 as well) This creates a width reduction of the anatomic waistline by removing some of the lateral ribcage support which allows the soft tissue to ‘fall in’ more. This is historically and most Read More…

The Subtotal Buccal Lipectomy for Long-Term Lipoatrophy Prevention

The buccal fat pad has a unique role in facial contouring surgery, It is a unique encapsulated fat pad and the only one that exists outside of the orbit on the face. This makes it a prime target for removal for several reasons. It is relatively easy to remove through a small intraoral incision. Read More…

Plastic Surgery Case Study – Female Jaw Angle Implants for a More Defined Jawline

Background: A strong and well defined jawline used to be an exclusively male trait. And the pursuit of a stronger jawline through implant surgery used to be only pursued by the young male patient. But that has changed in recent times as now women often desire a stronger jawline as well. When patients, men or Read More…

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…