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Plastic Surgery Case Study – Custom Chin Implant Replacement of a Custom Jawline Implant

Background: Total or complete lower jaw augmentation of any significance can really only be done by a custom wrap around jawline implant. By creating an augmentation line along the entire inferolateral bony border from one angle to the other a true 3D jaw augmentation is obtained. To compare what this type of implant can do Read More…

OR Snapshots – Wedge Latissimus Dorsi Musclle Resection in Rib Removal Surgery

Rib removal in my practice is a common body contouring procedure to improve the shape of the waistline. It is the final possible procedure for those patients who have been through prior surgical efforts (BBL,liposuction, tummy tucks) or for those who are so lean that these standard surgical procedures are not of much value. Reducing Read More…

Plastic Surgery Case Study – Narrowing the Wide Male Nasal Tip (Tip Rhinoplasty)

Background: The shape of anyone’s nose is a result of the size, shape and thicknesses of its cartilage, bone and skin components. These five pieces of cartilage and two pieces of bone are able to be modified to varying degrees if one wants to change the shape of their nose. How well or poorly these Read More…

Plastic Surgery Case Study – An Oversized Medpor Custom Jawline Implant Removal and New Custom Jawline Implant Replacement

Background: Custom jawline implants can be made of a variety of materials each with their own advantages and disadvantages. One of these materials is porous polyethylene or Medpor. It offers a firm soft tissue adhesion to its surface to which that advantage over other materials which do not develop this strong adhesion is not clinically Read More…

Evaluating the Inward Roll of the Shoulders from Clavicle Reduction

One of the most common aesthetic questions potential patients ask about shoulder narrowing surgery by clavicle resection is whether rolling in of the shoulders occurs. The question actually is not whether it occurs by how significant will it be. To properly answer that question requires an understanding of clavicular bone anatomy. While the clavicle is Read More…

Plastic Surgery Case Study – Clavicle Reduction Osteotomies in the Thick Tissue Broad Shoulder Patient

Background: Shoulder narrowing surgery is a conceptually ‘simple’ aesthetic concept. Remove a piece of the clavicle, pull the two ends together and the shoulder will appear less wide. While from a conceptual standpoint this is true, actually doing it through limited surgical access from a favorable incision location successfully is a bigger surgical challenge that Read More…

Plastic Surgery Case Study – The Direct Incisional Approach For Difficult Jaw Angle Implant Repositioning

Background: Of all facial areas to aesthetically enhance with implants the jaw angles are the toughest area to do so. There are multiple reasons why this is so but it comes down to lack of good visibility with the intraoral access used and that this is where the insertion is for the masseter muscle. Getting Read More…

Plastic Surgery Case Study – Reduction of Prominent Female Temporal Artery Prominences with a Multi-Level Ligation Technique

Background: A not uncommon but less frequently treated aesthetic forehead deformity is that of prominent temporal arteries. Seen as ‘squiggly worms’ on the side of the head crossing from the temporal region into the upper lateral forehead they occur for reasons unknown. Their serpiginous pattern and location make them the undeniable course of the anterior Read More…

Plastic Surgery Case Study – Webbed Neck Correction with Buffalo Hump Reduction

Background: While neck webbing occurs in a number of congenital syndromes, and occasionally in non-syndromes as well, they are most common associated with Turner’s syndrome. They may also appear most significant in Turner’s where they are fully expressed. While the exact reason why neck webs occur is not precisely known their anatomic makeup is better Read More…

OR Snapshots – Free Floating Rib Removal for Waistline Reduction

Waistline reductive reshaping with rib removal involves manipulation of the lowest level of the ribcage. The so called free floating ribs, numbers 11 and 12, are partially removed to reduce the support for the sides of waistline. These ribs are unique as they are not attached to the rest of the ribcage like the other Read More…