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Maximal Buried Penis Repair Technique

The buried penis problem is adult men is almost seen with pubic and abdominal tissue redundancies. Obesity to some degree is a frequent accompaniment to the hidden penis. But even in weight loss patients the tissue redundancies are not completely solved and only the subcutaneous fat layer gets thinner. The skin overhang and loss of Read More…

Case Study – Rhinoplasty for the Aging Overprojected Nose

Background: The shape of the nasal tip is primarily affected by its anatomic composition. The size, thickness and length of the lower alar cartilages create the major shape of the lower third of the nose. Combined with the thickness of the nasal skin over these cartilages the shape of the nasal tip is defined. The Read More…

Technical Strategies – Minimal Incision Temporal Reduction Technique

Reduction of an undesired temporal convexity is becoming increasingly requested as it becomes aware that a procedure exists to do it. For a head that is too wide or convex above the ears, a technique has been developed to help narrow it. While such a temporal convexity is often perceived as being due to bone, Read More…

Plastic Surgery Case Study – Chin Cleft Creation Surgery

Background: One of the very unique aesthetic features of the chin are dimples and clefts. While often perceived as being similar, they are not. Chin dimples are central circular indentations in the central mound of the chin pad. A chin cleft is a vertical groove located more along the inferior chin pad and crosses along Read More…

Sientra Suspends Selling Breast Implants

Breast implants in the United States are commerically available from three manufacturers, Allergan, Mentor and Sientra. The newest provider is that of Sientra which has been selling their breast implants only since 2012. Although its corporate headquarters are in California, Sientra has its implants manufactured in Brazil. This manufacturing facility produces Silimed breast implants which Read More…

Plastic Surgery Case Study – Jaw Asymmetry Correction with Custom Implant

Background: Symmetry of the lower third of the face, and the jawline specifically, is one of the most important components of facial aesthetics. Asymmetry in the jawline can occur in any of its components from the chin, body or ramus of the mandible. Differences in lengths of the ramus due to development is one of Read More…

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…

Temporal Artery Ligation Technique for Prominent Temporal Vessels

The superficial temporal artery is one of the major arteries to the scalp. Its course is well known as it arises from the external carotid artery and extends superiorly in front of the ear as it heads further north. At a point at about 2 cms above and 1cm anterior to the ear, the superficial Read More…