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Product Review – Vitagel in Plastic Surgery

The most common expected early outcomes and complications from many types of plastic surgery are various types of undesired fluid collections. These are caused by bleeding (bruising and hematomas) as well as prolonged lymphatic leaks. (seromas) While the body has many natural clotting and healing mechanism to limit the occurrence or extent of these fluid Read More…

The Use of Platelet Rich Plasma (PRP) in Fat Grafting

Injectable Fat-grafting, also known as lipofilling, has become a standard plastic surgery treatment in a wide variety of aesthetic and reconstructive needs of the face and body. Although technical improvements have increased the concentration of fat cells injected, the amount of fat graft survival is still unpredictable and far less than 100%. Various methods have been Read More…

Plastic Surgery Case Study – Custom Paranasal Implant for Base of Nose Augmentation

Background: Flatness in the midface occurs primarily due to natural development and occurs in certain ethnicities. The Asian face is well known to be broader with less anterior projection and it is most manifest in the appearance of the nose and the underlying maxillary support. But loss of maxillary support can also occur from trauma, Read More…

Kybella Injections vs. Liposuction Surgery For Fat Reduction

The non-surgical treatment of fat has historically been difficult as external devices have a limited ability to reduce its thickness. This is particularly true in the ‘double chin’ deformity where excessive (under the chin) fat creates another roll of tissue like an extra chin. Liposuction of the submental/neck area is the gold standard by which Read More…

Case Study – Male Custom Jawline Implant Reshaping

Background: The importance of a well defined jawline in a male is essentially equivalent to breasts in a female. It is certainly the single most important facial feature for a man and can even be argued that it is the most important overall body feature. Improving a man’s facial profile has historically been focused on Read More…

Plastic Surgery Case Study – The Type 1 Facelift

Background: Aging affects faces at different rates but the overall effect is the same. The face slowly sags with skin hanging over the jawline and the neck tissues becoming loose. Because facial aging occurs differently, the type and extent of its treatment should also differ. The facelift remains as the definitive treatment of the lower Read More…

Pixie Ear Deformity Correction in Small Earlobes

The Pixie ear deformity is a well described adverse after effect from a facelift. It is seen as an aesthetic postoperative anomaly where the lower portion of the earlobe is attached to the side of the face without a notch at the earlobe-face junction. In short, the earlobe looks pulled down. It is caused Read More…

Fat Injection Grafting after Buttock Implants

Buttock augmentation can be done by two different methods. The most popular method today is the Brazilian Butt Lift (BBL), more generically known as fat injection buttock augmentation. It is popular because many people have excessive fat and this is a method of fat redistribution that creates improved body contours. Conversely buttock implants is less Read More…

Plastic Surgery Case Study – Non-Orthodontic LeFort 1 Advancement

Background: Treatment of a midface deficiency is most commonly done by moving the upper jaw forward. Done by making a horizontal bone cut just above the roots of the teeth, the upper jaw is brought forward into a new horizontal position. This well known facial bone procedure is the LeFort I osteotomy and has Read More…

Technical Strategies – Head Widening Implants

The width of the side of the head is controlled by the shape of the temporal bone and the thickness of the temporalis muscle, all located above the ear. While many think the bone is the main contributing factor, the thickness of the temporalis muscle should not be underestimated. By CT scan measurements it can Read More…