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Plastic Surgery Case Study – Reshaping the Short Wide face with Vertical Chin Lengthening and Anterior Cheek Augmentation

Background: In facial reshaping surgery a combination of diametric structural changes are needed to improve the facial balance. The most well known facial reshaping procedure is a reductive rhinoplasty and chin augmentation, a horizontal facial shape change that is best seen in profile. Vertical facial shape changes, however, are less appreciated and often underdiagnosed. As Read More…

Plastic Surgery Case Study – Reduction of a Male Unilateral Bony Forehead-Skull Protrusion

Background: The forehead is the largest surface area of the face without distinct features. Between the eyebrows and the frontal hairline lies a surface that, while not completely flat, generally is smooth without obvious prominences. Thus when a bump or projection appears on the forehead it is easily observed. Unless there is hair covering the Read More…

Plastic Surgery Case Study – Custom Jawline Implant after Extreme Vertical Chin Lengthening

Background: Changing the projection of the chin is the most common lower facial reshaping procedure. Most of these movements are done horizontally and one can debate the merits of an implant vs a bony genioplasty approach to do so. But when it comes to vertically lengthening the chin an implant has dimensional limitations. For significant Read More…

Plastic Surgery Case Study – Solid Large Testicle Implant Replacements for Cup Testicle Implants

Background: Testicular enhancement is different than testicular replacement surgery. One is aesthetic and the other is reconstructive. One uses the opposite normal intact testicle as the exact size of the replacement while the other uses the size of both natural testicles to determine how to make an implant to enhance its size. One of two Read More…

Plastic Surgery Case Study – Custom Pectoral Implant Replacements For Increased Chest Projection and Fullness

Background: Pectoral implants are the male version of chest enhancement which has many differences from that of its female counterpart of breast implants. Besides the obvious differences in implant structure (solid male implant vs gel-filled female implant) the other major difference is in how they impact the pectoral muscle. While many breast implants are placed Read More…

Plastic Surgery Case Study – The Benefits of a Two Stage Approach to Shoulder Narrowing Surgery

Background: Reshaping the shoulder for a less wide and more rounded shape can be effectively done by reducing the length of the clavicle bone. The location of the bone removal is performed on the inner half of the bone as the scar can be less visible in the supraclavicular fossa. The interesting side benefit of Read More…

Plastic Surgery Case Study – Three Level Soft Tissue Cheek Reduction/Contouring

Background: Reductive soft tissue cheek procedures historically consist of the well known buccal lipectomy. While commonly performed its anatomic location and the extent of its effect on the midface is often under appreciated. When taken in the context of the trampoline concept of the midface, the buccal lipectomy is not a comprehensive cheek thinning/reductive procedure. Read More…

Technical Strategies – The Postauricular Approach for Mastoid Prominence Skull Reduction

There are numerous small bumps on the skull that can occur that can be aesthetically bothersome. Some common examples are osteomas of the forehead and occipital knobs on the back of the head. Many of these skull bumps are pathologic, meaning their presence is abnormal even if they only cause an aesthetic issue. There are Read More…

Technical Strategies – Trochanteric Hip Augmentation by Pedicled Fat Flap from a Tummy Tuck

Hip augmentation remains a challenging body contouring procedure. An autologous approach with fat injections are the most logical approach but the survival of fat in the hip area is generally poor particularly if a deep trochanteric depression exists. Hip implants offer assured volume retention but have a significant complication rate due to the lack of Read More…

Technical Strategies – High Speed Burring in Secondary Tracheal Shaves

Chondrolaryngoplasty or tracheal shave surgery is the only structural aesthetic change that can be done on the neck. (since the thyroid cartilage is the only protruding non-soft tissue prominence) While commonly identified with transgender surgery today the tracheal shave procedure can also be performed in cis males who have too much Adam’s apple projection. (Usually Read More…