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Plastic Surgery Case Study – Why Bone Cements Are Inferior to Custom Implants for Aesthetic Onlay Skull Augmentations

Background: Aesthetic skull augmentation have been done by two types of implantable materials, bone cements vs performed custom implants. These two skull augmentation materials have very different handling properties which not only affects their intraoperative placement but leads to major differences in what either one can aesthetically achieve. Failure to understand these differences leads many Read More…

Technical Strategies – The Two Piece Split in Custom Jawline Implant Placements for Mental Nerve Protection

The use of standard chin and jaw angle implants can be an effective approach for many male jaw augmentation patients. But as three separate implants it does not create a controlled linear shape to the jawline due to the lack of connectivity between the implants. As a result some standard jaw augmentation patients will graduate Read More…

Plastic Surgery Case Study – Custom Two-Piece Frontal Skull Implant for Forehead and Temporal Widening Effect

Background: The forehead occupies a full upper third of the face and has a significant influence on the appearance of its shape. Part of framing the upper face is also the frontal and temporal hairline which can influence the appearance of the width of the forehead. Also contributing to the width of the forehead is Read More…

Plastic Surgery Case Study – Custom Nasal Implant for Improved Frontonasal Angle after Brow Bone Augmentation

Background: Bridge of the nose deficiencies are a common nasal shape concern and are usually congenital in origin. Occasionally it may also develop from nasal impaction injuries. A most origin of nasal bridge depression is from brow bone augmentation. As the frontonasal junction projection is increased as part of the brow bone augmentation the radix Read More…

Plastic Surgery Case Study – Two Stage Aesthetic Skull Augmentation with Three-Piece Custom Skull Implant Design

Background: Aesthetic skull augmentations, like any other face and body areas, requires the placement of an implant to create the desired effect. What differentiates such skull augmentations is there are no preformed off-the-shelf implants to do so and the overlying soft tissues (scalp) imposes some natural implant size limitations due to its natural tightness. The Read More…

Technical Strategies – Dopper Assessment of Temporal Artery Ligations

Ligation is an effective procedure in reducing and/or eliminating the prominence of temporal arteries that appear on the side of the head and run into the forehead. Shutting off the flow through the artery reduces its size and as a result its appearance. While this concept is obvious and seemingly simple it is harder to Read More…

Plastic Surgery Case Study – Low Back of the Head Custom Skull Implant Augmentation

Background: One of the most areas of skull augmentation is the back of the head. Plagiocephaly (flatness on one side), brachycephaly (flatness on both sides) and posterior fontanelle depressions are the most common reasons people seek an improved and more symmetric outward contour augmentation. The most reliable and effective method of such skull augmentations is Read More…

Technical Strategies – Dermal Graft Helical Rim Ear Contouring

Despite its small size the shape of the ear is made up of many components. The largest in surface area as well as its appearance is the outer helical rim. It starts at the superior attachment of the ear to the side of the head (helical root) and wraps around the entire ear until it Read More…

Plastic Surgery Case Study – Long Term Result in Male Brow Bone Reduction by Bone Flap Setback

Background: Brow bone reduction today is most commonly associated with facial feminization surgery. But the reality is that cis-males can also be bothered by excessive brow bone protrusion. The difference between a cis-male and a transgender male to female brow bone concerns are one of magnitude. While the transgender patient wants to take a normal Read More…

The Anatomy Behind Proper Jaw Angle Implant Positioning

There are numerous areas of the face in which implants are used to create an aesthetic enhancement. Each one of these facial areas has their challenges for successful surgical placement. But the most difficult of them all is that of the jaw angle region of the lower face. The unique anatomy of the back part Read More…