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Case Study – Rhinoplasty for the Aging Overprojected Nose

Background: The shape of the nasal tip is primarily affected by its anatomic composition. The size, thickness and length of the lower alar cartilages create the major shape of the lower third of the nose. Combined with the thickness of the nasal skin over these cartilages the shape of the nasal tip is defined. The Read More…

Plastic Surgery Case Study – Chin Cleft Creation Surgery

Background: One of the very unique aesthetic features of the chin are dimples and clefts. While often perceived as being similar, they are not. Chin dimples are central circular indentations in the central mound of the chin pad. A chin cleft is a vertical groove located more along the inferior chin pad and crosses along Read More…

Sientra Suspends Selling Breast Implants

Breast implants in the United States are commerically available from three manufacturers, Allergan, Mentor and Sientra. The newest provider is that of Sientra which has been selling their breast implants only since 2012. Although its corporate headquarters are in California, Sientra has its implants manufactured in Brazil. This manufacturing facility produces Silimed breast implants which Read More…

Arterial Ligation in Temporal Migraine Surgery

While everyone knows what a migraine headache is, determining its exact cause in many patients is not so obvious. Recent advances in migraine care have been to determine if there is a specific extracranial cause that triggers the migraine. The focus has been on nerve compression of certain sensory nerves where they exit from the Read More…

Nasal Septal Perforation Repair with Polydioxanone Plates

Septal perforations are an infrequent and unfortunate sequelae of septorhinoplasty surgery. Subperichondrial exposure of the septum for straightening and/or graft harvest risks disruption of the mucosal lining which may not fully heal if there is lack of cartilage underneath it. This is the root cause of any septal perforations which have a wide range of Read More…

Plastic Surgery Case Study – Lower Eyelid Ectropion Repair

Background: The lower eyelid is uniquely different from that of the upper eyelid. Besides being on the lower half of the eyeball, it has much less movement than that of the upper eyelid. The lower eyelid is largely static and is best thought of as a ‘clothesline’ running across the lower half of the eye. Read More…

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