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Plastic Surgery Case Study – The Aesthetic Advantages of a Custom Skull Implant Over PMMA Bone Cement in Large Surface Area Skull Augmentations

Background: Aesthetic skull augmentations consist of placing various materials on top of the surfaces of the skull to change its external shape. In the history of plastic surgery this skull augmentation material has been PMMA bone cement, one of the few true plastic materials used in aesthetic and reconstructive surgery. While originally intended as a Read More…

Technical Strategies – Modified Wedge Excisions for Nostril Flaring Reduction

Rhinoplasty surgery is fundamentally about altering the osseocartilaginous framework of the nose. It’s primary soft tissue effect, the redraping of the nasal skin over and around the altered support framework, is largely out of the surgeon’s direct control. But there is one soft tissue element of the nose which can be changed and that is Read More…

Plastic Surgery Case Study – Custom Chin Implant Reversal of a Submental Bony Chin Reduction

Background: While the most common chin procedure is augmentation a lesser number of chin shape changes are done for reduction. Besides their lower numbers chin reduction surgery is also dominated by female patients much more so than men. Chins that stick out too far, are too vertically long or are too wide are the dimensional Read More…

Plastic Surgery Case Study – Comprehensive Craniofacial Asymmetry Correction with Combined Skull Reshaping and Custom Facial Implants

Background: Plagiocephaly is a unique form of craniofacial asymmetry and its probably the best known because of its syndromic presentation from its axial twisting developmental pattern. With predominant symptom of a flat back of the head on one side (right more frequently than left), which is often the major issue, there is a series of Read More…

Plastic Surgery Case Study – The Long Nose Rhinoplasty with Tip Deprojection and Nostril Narrowing

Background: While the nose is composed of bone and cartilage components, its greatest anatomic complexity is in its lower third. The near union of the lower alar cartilages in the midline with the septal support behind it makes for the external size and shape of the nasal tip. The lower alar cartilages is composed of Read More…

Plastic Surgery Case Study – Secondary Custom Jawline Implant Modifications Combined with New Custom Chin Implant

Background: Custom jawline implants are the most powerful aesthetic structural changer of the lower third of the face. However, while they are custom made for each patient, such custom designs can not guarantee that the patient’s desired aesthetic result will be achieved. Until there comes a time when the exact correlation between an implant design Read More…

Plastic Surgery Case Study – Female Forehead Feminization with Bony Reductions and Frontal Hairline Advancement

Background: Forehead feminization today is typically associated with a transgender male to female patient. The most common procedure used for this forehead softening effect is a brow bone reduction. Because the congenital male brow bone is more developed than a females the technique used to adequately reduce its projection is a bone flap setback technique Read More…

Clinical Study of Forehead Osteoma Removals

Osteomas are well known benign bony growths that are most commonly seen in the forehead. (at least by plastic surgeons) These forehead osteomas are peripheral in origin and arise from the periostea lining of the bone. They are said to result from trauma although many forehead osteomas that I have seen have no such history. Read More…

Plastic Surgery Case Study – Excision of Steroid-Caused Buttock (Gluteal) Cyst

Background: The presentation and excision of cysts are a mundane procedural request by patients to their plastic surgeon. They often are not the primary procedure the patient is undergoing and usually a ‘hey doc’ request as an addition. Such lumps and bumps are usually garden variety dermoid cysts and lipomatous masses that can develop anywhere Read More…

Clinical Outcomes from Combined Rhinoplasty and Paranasal Augmentation in Central Asian Midface Augmentation

Some Asian faces are well known to have a mid facial concavity or lack of forward facial projection. As a result augmentative rhinoplasty is one of the most common facial procedures performed in this ethnic group to increase the height and length of the nose. As part of the underlying facial deficiency and a procedure Read More…