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Kybella Injections for Jowl Reduction

The search to non-surgically reduce fat for aesthetic purposes has been ongoing for years and many methods exist today to do so. Numerous energy-based devices are available (e.g., Vanquish) for body contouring which induce fat cell atrophy through an apoptosis process. But such devices have limited use in the face due to the smaller fat Read More…

Plastic Surgery Case Study – Macrotia Ear Reduction

Background: The embryology and development of the human ear is a marvel in not only its complexity but how well it works most of the time. It is created by the merging of six separate tissue segments (hillocks) in utero that create the recognizable ear that is a collection of various ridges and valleys. But Read More…

Plastic Surgery Case Study – Custom Silicone Testicular Implant Replacement

Background: Replacement of a undeveloped or removed testis can be done with the placement of a testicular implant. The history of testicular implants goes back well over fifty years and has included a variety of material compositions. The most satisfying device became the silicone gel-filled testicular implant due to its feel. But like silicone breast Read More…

Plastic Surgery Case Study – Nipple Lift with Breast Augmentation

Background: Many women who are to undergo breast augmentation surgery have asymmetric breasts. These asymmetries may be in breast mound size, breast mound shape, amounts of sagging and the nipple position. Preoperative education about how breast implants will impact these asymmetries is of critical importance as breast implants alone will not correct many breast asymmetries. Read More…

Plastic Surgery Case Study – Waistline Narrowing by Rib Removal Surgery

Background: A more narrow waistline is a desire of just about anyone that does not have one. While both men and women seek a more narrow waistline, a woman’s perception of a more narrow waistline is different than that of a man’s. A man sees his waistline as at the belt or pant line. A Read More…

Plastic Surgery Humor – Realistic Expectations in Plastic Surgery

Plastic surgery offers a wide variety of changes to the face and body that in many cases can produce outstanding results. Many of these results are well publicized across the internet and on many plastic surgeon’s websites. But just because a great result can be obtained on one person does not necessarily mean that Read More…

Technical Strategies – Endoscopic Custom Forehead Implant Placement

Aesthetic forehead augmentation to correct a sloped, irregular or deficient frontal bone can be done by a variety of materials placed on top of the bone. Having used every one of them, they each have their merits and each material type can be successfully used in experienced hands. But the forehead augmentation method that Read More…

Plastic Surgery Case Study – The Extended Custom Chin Implant in Facial Deformities

Background: Soft tissue contractures of the face cause a variety of deformities. Even with normal underlying bone structures, loss of overlying soft tissue volume and shape can make the face appear deficient and distorted. This is most classically illustrated by burn patients who suffer the greatest amounts of soft tissue loss and deformity when suffering Read More…

Aesthetic Insights – Wide Spacing of Breast Implants

For women undergoing breast augmentation surgery, the location as well as the size of the breast implants is of critical importance. While women can participate in the selection of the size of their breast implants, they have little say in where they are positioned on the chest wall. Ideally the plastic surgeon centers the implant Read More…

Plastic Surgery Case Study – The Hump Reduction Rhinoplasty

Background: Rhinoplasty is one of the most common facial plastic surgery procedures performed. It is also the dominant facial reshaping procedure that has been performed for over a century. Historically and up to the present day removal of a hump or a lowering of the bridge of the nose is one of the most common Read More…