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Plastic Surgery Case Study – Arm Lifts in Bariatric Surgery Patients

Background: Large amounts of weight loss, whether from bariatric surgery or from other non-surgical methods, creates a lot of secondary body issues. The loss of subcutaneous fat causes deflation of the overlying skin, resulting in skin sagging and often interference with numerous normal bodily functions. The arms are a classic example of this expected phenomenon Read More…

Technical Strategies – Recycled Medpor Chin Implant in Sliding Genioplasty

When a chin implant ‘fails’ it may be replaced or revised by a sliding genioplasty. Chin implant failure can usually be defined as an implant that had not met the patient’s aesthetic desires due to design, size or positioning issues. This is most commonly seen when a chin implant is used for larger chin deficiencies Read More…

Intraoral Shortening Vestibuloplasty for Improved Food Clearance

From an anatomic perspective, the mouth is made up of two basic parts. There is the oral cavity proper which lies between the teeth where the tongue resides and is bounded superiorly by the palate and inferiorly by the mylohyoid muscles of the floor of the mouth. But the second and often forgotten part of Read More…

Optimal Incision Locations for Otoplasty Surgery

Otoplasty is a relatively simple and effective procedure for reshaping the prominent ear. Cartilage bending/repositioning through sutures is the backbone of the operation with a minor role for cartilage excision/scoring. But the ability to do these maneuvers requires an incision and this is almost always placed on the back surface of the ear. While Read More…

Case Study – Semi-Custom Skull Implant for Occipital Plagiocephaly

Background: Occipital plagiocephaly is a well recognized skull shape deformity that is caused by deformational forces. Whether this is the result of intrauterine constraint, post delivery head positioning or both, the thin and malleable skull bones are prone to be inadvertently molded into a deformed shape. This classically appears as a flatness on one side Read More…

Scrotoplasty – Scrotal Reduction and Lift

The size of a male’s scrotum is rarely an aesthetic issue and is often paid given little attention. But as men age and particularly if they undergo a lot of weight loss their scrotum may get larger by virtue of the development of loose skin. Such scrotal enlargement can be more than a cosmetic concern Read More…

Lop Ear Deformity Reconstruction with Rib Graft

The shape of the ear is incredibly complex and it is a miracle that the ear is properly formed as often as it does. But when it does not become adequately shaped there are many possibilities for its deformity. One such category of congenital ear deformity is that of the constricted ear. This is where Read More…

Product Review – Radiesse for Hand Rejuvenation

One important aspect of hand rejuvenation is volume restoration of the back (dorsum) of the hand. Skeletonization of the hand occurs through loss of subcutaneous fat allowing the tendons and bones to be easily seen which is associated with aging. (bony hands) This has been shown to be effectively treated using a variety of filler Read More…

Diced Ear Cartilage Graft in Rhinoplasty

Cartilage is the best type of graft or augmentation material to use in rhinoplasty. For most rhinoplasties the preference for donor site harvest is the septum, ear and then the rib. When the septum is inadequate the ear or conchal cartilage is the back up donor site. While the ear may be able to provide Read More…

Septorhinoplasty for Obstructive Sleep Apnea Symptom Improvement

Obstructive sleep apnea (OSA) is a well known medical condition that is caused by obstruction of the upper airway. This obstruction can be anywhere from the nasal passages, the upper nasopharynx (soft palate), the oropharynx (tongue) down to the epiglottis. In many cases it is believed that the cause of OSA is at multiple levels Read More…