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The Effectiveness of Male Nipple Reduction

While men have nipples just like women, they serve no functional purpose. Men do not get pregnant nor do they have to breast feed so the role of the nipple-areolar complex is essentially decorative. While men may look peculiar if they did not have nipples, because we are used to seeing all humans with them, Read More…

Technical Strategies – Postauricular Approach for Head Widening Implants

Augmentation of the face through a variety of implants has been around for along time. Implant augmentation above the face on the skull bones is almost unheard of. Skull augmentations are much less commonly done, not only because they are less frequently requested, but because they are no implants made for them and surgical techniques Read More…

The Success of the Brazilian Butt Lift

Buttock augmentation is most commonly done today using fat injections. (aka Brazilian Butt Lift or BBL) It is popular because it not only offers a natural method of buttock enlargement but has a concomitant benefit of body contouring through the liposuction fat harvesting. Many good buttock augmentation results from this procedure are the result Read More…

The Custom Infraorbital Rim Implant

Tear troughs and deep grooves under the eyes are often the result of underdeveloped or a weak skeletal structure. Specifically these would be the inferior orbital rims and the anterior cheek bones which sit at the bottom of the lower eyelid and supports the upper cheek soft tissues. Treatment of undereye hollows and grooves is Read More…

Otoplasty in the Long Ear (Macrotia)

Prominent ears are the most common reason for an aesthetic otoplasty correction. There are numerous reasons that one has ears that stick out too far from the absence of the antihelical fold, a large concha or combinations thereof. The surgical techniques used to treat prominent ears are based on creating a more defined antihelical fold, Read More…

Technical Strategies – Brow Bone Reduction with Mid Forehead Nerve Sparing

Excessive brow bone protrusion, known as brow bone hypertrophy, is a well recognized phenomenon that is due to over pneumatization of the frontal sinus. While many people think that it is due to excessive bone growth, it is actually due to an over enlargement of the frontal sinus air cavity. This pushes out the air Read More…

MRI and Cancer Detection in Women with Breast Implants

When one combines the number of elective breast augmentations performed and the incidence of breast cancer occurrence, it is no surprise that the two would intersect. While ultrasound and mammography are excellent breast cancer screening tools they are not perfect and not every tumor will be detected. Magnetic resonance imaging (MRI) is a well known Read More…

Depressor Septi Nasi Muscle and Dynamic Tip Descent

In a rhinoplasty there are many manuevers that can effect the final aesthetic result. But the vast majority of these are based on bone and cartilage reduction/addition/modifications. Isolated soft tissue changes in rhinoplasty are far fewer and changes in the muscular attachments are the most infrequently performed. The nasal muscle of interest is the depressor Read More…

Case Study – Extreme Custom Jawline Implants

Background: The shape and prominence of the lower jaw has a major influence on the perceived characteristic of a male. The more defined and stronger the jawline is the more masculine a man is perceived to be. That may or may not be actually true but the perception remains that it is. At the least Read More…

Technical Strategies – Screw Fixation of Jaw Angle Implants

The placement of jaw angle implants has many unique aspects from other facial implants. It requires dissection in the most posterior part of the face done from inside the mouth making access and visibility challenging. It requires the largest muscle on the face to be lifted off the bone (masseter muscle) to place and Read More…