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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…

Case Study: Brazilian Butt Lift

Background: One of the most commonly requested body contouring surgeries today is that of the Brazilian Butt Lift.  (aka BBL) While sounding both Brazilian and touting a butt lift, it is really buttock augmentation by fat injections. Fat is derived from liposuction of any body area that one wants reduced. The buttock augmentation is then Read More…

Surgical Techniques of Rib Removal for Waistline Narrowing

The surgical technique for rib removal for waistline narrowing involves three basic principles. First the surgical access (incision) must be limited so it does not pose a poor aesthetic tradeoff. Secondly, the correct number and length of the ribs must be removed to create the waistline change. Third, the ribs must be removed carefully so Read More…

Rib Removal for Waistline Narrowing – Surgical Risks and Complications

Rib removal for waistline narrowing, like all surgical procedures, does have its own set of risks and potential complications. Patients should fully understand what they are and their potential consequences. Like all aesthetic plastic surgery procedures, it is all about weighing the trade-offs of the potential benefits of the desired waistline changes vs. the liabilities Read More…

Rib Removal for Waistline Narrowing – Anatomical Considerations

Rib removal for waistline narrowing involves the selective removal of key portions of the ribs to allow the anatomic waist to become circumferentially smaller. While the circumferential waistline measurement may become reduced by variable amounts, the more important visual assessment is an inward indentation at the sides of the anatomic waist creating the so called Read More…

General Concepts of Rib Removal for Waistline Narrowing \

Rib removal is a plastic surgery procedure that is almost an urban myth. Many have heard about it but trying to find a plastic surgeon who has really done it is a bit like getting photographs of Sasquatch. This makes many wonder if rib removal for a smaller waist is for real. Having an hourglass Read More…

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