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V Line Reversal Surgery Using Custom Jawline Implants

Lower facial reshaping by jaw reduction, also known as v line surgery, is a well known procedure that historically has been mainly used in Asian patients. But its use has expanded and has spread and is now being used in females of many different ethnicities and lower jaw shapes. While it can be a very Read More…

Plastic Surgery Case Study – Staged Breast Lifts and Large Breast Implants

Background: Breasts that present for implant augmentation can have many different mound shapes and nipple-areolar positions. Many will respond quite favorably to the enlargement created by an implant and undesired mound shapes and nipple positions will be improved. But when breast ptosis exists implants alone will usually make their appearance worse even though they are Read More…

Long Term 3D CT Scan Study Of Chin Implant Bone Resorption

One of the most common discussed effects associated with chin implants is bone resorption. This has been talked about for decades and patients and doctors talk about it like it is a progressive ongoing phenomenon that has pathologic and negative clinical effects.  I have stated for a long time that this is an erroneous concept, Read More…

The External Facial Volume Change From Buccal Lipectomies

Buccal lipectomies, a facial reshaping procedure once denounced as deleterious, has gained popularity in more recent times. In an effort to thin out or sculpt full cheeks, removal of the discrete buccal fat creates the most significant amount of facial fat reduction. The cheek subcutaneous tissues are not particularly favorable for liposuction due to its Read More…

Correction of the Hanging Ala in Asian Rhinoplasty

The hanging ala is one of the not uncommon nasal tip shape discrepancies seen in some Asian rhinoplasties. Effective techniques for lifting the hanging ala are limited to either direct excision along the alar rim or indirect excision along the alar crease above it. Each method has the issue of adverse scarring potential. In the Read More…

Custom Skull Implants and The Scalp Incisions Needed To Place Them

Augmenting depressed contours of the skull can be done by a variety of materials. When placing any skull augmentation material the two key elements of importance are assurance of the desired contour and a limited scalp incisional scar to do so. It is important to differentiate reconstructive skull thickness restoration from aesthetic skull contouring. The Read More…

Earlobe Setback Techniques in Otoplasty

Correction of prominent ears by a setback otoplasty, whether in children or adults, is a highly rewarding procedure for most patients. Numerous techniques have been described in how to reliably and permanently setback the cartilage of the protruding ear. None of these technique have proven to be absolutely superior over the others, indicating that any Read More…

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