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Aesthetic Insights – Wide Spacing of Breast Implants

For women undergoing breast augmentation surgery, the location as well as the size of the breast implants is of critical importance. While women can participate in the selection of the size of their breast implants, they have little say in where they are positioned on the chest wall. Ideally the plastic surgeon centers the implant Read More…

Plastic Surgery Case Study – The Hump Reduction Rhinoplasty

Background: Rhinoplasty is one of the most common facial plastic surgery procedures performed. It is also the dominant facial reshaping procedure that has been performed for over a century. Historically and up to the present day removal of a hump or a lowering of the bridge of the nose is one of the most common Read More…

The Effects of Breast Implants on Native Breast Tissue

Breast augmentation using breast implants is the tried and proven method to increase breast size. It does so by an outward displacement of the overlying breast tissue (parenchyma) and skin due to the push of the implant. Plastic surgeons have recognized for years that the push/pressure of the implant causes a reduction or loss Read More…

Technical Strategies – Male Direct Brow Bone Reduction Through Mid-Forehead Incision

Brow bone reduction can be done by two basic techniques. A burring reduction of the outer table of the frontal sinus wall is one option. The amount of reduction achieved will be limited by the thickness of the outer table bone which can be anywhere from 2 to 5mms. The other method of brow bone Read More…

Plastic Surgery Case Study – Total Forehead Reduction with Hairline Advancement and Bone Contouring

Background: The shape of the forehead is affected by various hard and soft tissue components. The forehead is framed by the hairline superiorly, the brows inferiorly and the bony temporal lines to the sides. The projection of the forehead is controlled by the thickness of the frontal bone and its degree of convexity and smothness. Read More…

Technical Strategies – Coimbining Sliding Genioplasty and Chin Implants

A sliding genioplasty is a very versatile chin reshaping procedure that has been used for decades. In elective chin augmentations it is the alternative option to the use of a chin implant. Although chin implants are by far more commonly done in a ratio of at least 20:1 if not greater. While chin implants are Read More…

Plastic Surgery Case Study – Ten Year Old Silicone Breast Implants

Background: While the effects of breast implants can last a lifetime, the implants themselves may need to be replaced due to mechanical failure. This is a well known reality of breast implants and the younger of age one has them placed the near 100% probability they will need to be replaced over one’s lifetime. But Read More…

Plastic Surgery Case Study – Asian V Line Surgery

Background: Reshaping of the entire jawline to a more slim or narrowed shape has become known as V line surgery. It is most commonly done in Asians to change a wide and more square jaw to a more narrow and triangular one. It is a bony reshaping surgery which focuses on the chin anteriorly and Read More…

Case Study – Minimal Incision Bone Cement Occipital Skull Augmentation

Background: Skull deformities of the back of the head are very common. It is probably the one skull area that has the greatest incidence of shape distortions. This likely occurs because it is the most exposed skull area to deformational force both in utero and after birth due to fetal and neonatal positioning. Thus flat Read More…

Technical Strategies – Intraoral Chin Implant Placement

Chin implants are the most common permanent method of facial augmentation. Chin implants of various materials have been used for almost fifty years. Whatever the material composition of the implant is and its shape and size, chin implants can be introduced from either a superior approach (intraoral mucosal incision) or from below. (submental skin incision) Read More…