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Plastic Surgery Case Study – Custom Midface Pyriform Aperture-Infraorbital-Malar Implant

Background: Custom midface implants create new possibilities for adding increased projection to the middle third of the face. Unlike the numerous off-the-shelf implants which are available (cheek, tear trough, premaxillary and paranasal implants), the custom midface implant provides a global enhancement effect. It is somewhat similar to a LeFort III advancement without dentoalveolar and nasal Read More…

Technical Strategies – Intraoperative Placement of Custom Midface Implants

Custom implants are a paradigm shift in aesthetic augmentations of the midface. While there are numerous off-the-shelf augmentation options such as cheek, tear trough, and pyriform aperture (premaxillary and paranasal) implants, their effects are limited or only a subtotal midface enhancement. While this is what the vast majority of patients seek there is a subset Read More…

Elbow Wrap Garment in Shoulder Narrowing Surgery

Shoulder narrowing surgery is accomplished by shortening the length of each clavicle. Segments of the bone are removed and put back together using plates and screws with a shortened length. Like almost any such bone procedure, particularly in load-bearing areas like the shoulder, the reconstructed bone area needs to be protected for a period of Read More…

Technical Strategies – Pre Placement of Jaw Angle Implant Screws

Jaw angle implants are a unique and most challenging of all facial implants to surgically place. What fundamentally separates them from other implants is their posterior location at the back end of the lower jaw which is not an easy area to reach from an intraoral access. Besides the limited visibility the implant must also Read More…

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