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Clinical Outcomes in Rib Removal Surgery for Waistline Reduction
Rib removal surgery represents the elimination of the last anatomic...
The Surgical Technique of Clavicular Osteotomies in Shoulder Width Reduction
Shoulder width reduction is done by shortening the length of the...
The shape and appearance of the forehead is highly influenced by...
Background: The evolution of rhinoplasty surgery over the past twenty years...
Adverse changes in the cheeks such as flatness and sagging is a common sequelae of aging as the tissues fall off of the cheekbones. Sagging cheek tissues combined with volume loss from fat atrophy make cheek management an important element of some facelift surgeries. Adding volume back and/or lifting of the cheeks back up can Read More…
Background: Standard cheek implants have their role in many modest forms of cheek flattening but were never designed to treat a more complete midface deficiency. The more extensive the midface deficiency is the more its effects are seen around the eye. Undereye hollows and pseudoproptosis (bulging off the eye) are the hallmarks of a more Read More…
Background: Medpor or porous polyethylene is a common facial implant material. Its primary biologic feature as an implant is that is surface porosity permits soft tissue attachments/ingrowth. While this is perceived by some as a material benefit it become a major material liability should any form of revision or removal of the implant be needed. Read More…
Background: The flat back of the head is one of the most common aesthetic head shape deformities. There are multiple causes of a flat back of the head but the most common is deformational, meaning that external forces either in utero or after birth put pressure on the young thin forming skull bones causing that Read More…
The concept of bone imprinting by implants, most manifest along the chin and jawline due to its thicker muscle coverage, has been conclusively shown by high quality 3D CT scans. The interposition of an implant under tight overlying soft tissues along the jawline results in a tissue adaptive response (pressure relief)( that allows some settling Read More…
I have previously dispelled the biologic misconception that facial implants of any material composition result in bone erosion. Improved biologic understanding through observations of indwelling facial implants using 3D CT scans show that the correct interpretation is implant imprinting of the bone. This occurs by the introduction of an implant into established biologic tissue boundaries Read More…
Rib removal surgery for the purposes of aesthetic waistline reduction is a frequently misunderstood procedure. The name conjures up images of what is done in the surgery or how the surgery is done which leads to false perceptions about it. One of the best ways to understand the procedure better is to go through the Read More…
Augmentation of the upper third of the face has been less commonly done than the lower two-thirds of the face. Besides it being less frequently requested there is historically no standard implants to do so. The lack of available standard implants is a testament to the low frequency of demand for this area of facial Read More…
Background: The temporal bone is the major skull bone on the side of the head whose main functions are to protect the temporal lobe of the brain and encase the bony ear canal. It has two components, a deeper concave fossa by the side of the eye where most of the temporal muscle resides and Read More…
One of the primary procedures in facial feminization surgery is reductive reshaping of the forehead. While there are numerous techniques in feminizing the forehead the most consistently performed procedure is brow bone reduction. And the most effective form of brow bone reduction is the bone flap setback method. This is where the anterior table of Read More…
Clinical Outcomes in Rib Removal Surgery for Waistline Reduction
Rib removal surgery represents the elimination of the last anatomic...
The Surgical Technique of Clavicular Osteotomies in Shoulder Width Reduction
Shoulder width reduction is done by shortening the length of the...
The shape and appearance of the forehead is highly influenced by...
Background: The evolution of rhinoplasty surgery over the past twenty years...