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Kybella Injections For Submental Fat Reduction

The recent approval of Kybella for the treatment of under the chin fat (submental) fat appears like it is a new treatment. And as an FDA-approved drug it is. But the concept of a fat dissolving injectable drug is really now new and has a predicate history in the world of mesotherapy and the Read More…

Plastic Surgery Case Study – Custom Occipital Implant in Women

Background: One of the most common aesthetic skull deformities occurs in women with concerns about the shape of the back of their head. Lack of adequate fullness at the vertex and upper occipital region creates a flatness that promotes some women to compensate by puffing up their hair to hide it. This is such Read More…

Plastic Surgery Case Study – Platelet Rich Plasma and Hydroxyapatite Granule Maxillary Defect Reconstruction

Background: The nasopalatine cyst is a well known pathology of the maxilla that often presents as an asymptomatic anterior palatal swelling. It usually develops behind the maxillary incisors and is thought to be caused by the ductal tissue within the incisive canals. It appears radiographically as a round or heart-shaped mass in occlusal plane or Read More…

Plastic Surgery Case Study: Bilateral Cleft Lip Repair

Background: Cleft lip and palate is one of the most common facial birth defects often cited as occurring in about 1 in every 1,000 births. While there are race, gender and world wide differences in this occurrence rate, it is a condition that is well recognized around the world for its prevalance. Almost everyone has Read More…

Technical Strategies – Cupid’s Bow Lift of the Upper Lip

Augmentation of the upper lip is one of the most commonly done non-surgical facial enhancement procedures. This can usually be successfully done through the use of a variety of different hyaluronic acid-based injectable fillers. Despite their popularity and frequency of use, however, injectable fillers can not solve all aesthetic upper lip concerns. A thin upper Read More…

Technical Strategies – Custom Skull Implant Orientation Markings

The fabrication of custom skull implants offers a major advance in the treatment of many aesthetic skull deformities. Historically skull augmentation had to be done using a long and complete coronal scalp incision and resultant scar for access and intraoperatively shaped bone cement materials. But today’s custom skull implants allow for the shaping of Read More…

Mondor’s Cord after Breast Augmentation

Surgery of the breast is very common in women with breast augmentation being the most common aesthetic operation. There are many potential complications of breast augmentation surgery but fortunately most of them are minor and some of them are even self-solving. Technically if an after surgery problem eventually resolves on its own without surgical treatment Read More…

Sientra Breast Implants in Indianapolis

It has been nearly 2 1/2 years since a new company, Sientra, was permitted to produce and sell breast implants in the U.S. with FDA approval. Sientra joined two other major U.S. manufacturers of breast implants to make a total of three product lines from which to choose for their patients. While there are Read More…

Technical Strategies – Tracheal Shave by Burring Reduction

A tracheal shave or Adam’s Apple reduction (technically a thyrochondroplasty) is a well known neck contouring procedure to reduce a thyroid cartilage prominence. While it is most commonly perceived to be a male to female transgender procedure, it is actually done just as commonly for men or women who have a prominent thyroid bulge and Read More…

Technique of Bony Forehead Reduction with Hairline Advancement

The long or high forehead can be challenging to treat. The vertical length of the forehead is typically judged to be too long if the distance from the eyebrows to the frontal hairline exceeds about 6.5 cms. This is obviously a subjective judgement as the aesthetics of the forehead defies any exact number. But when Read More…