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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…

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…

Technical Strategies – Elbow Wraps after Shoulder Narrowing Surgery

Shoulder narrowing surgery is accomplished by the straightforward concept of removing  a segment of the clavicle bone which pulls the shoulder inward. While there are certainly technical challenges in performing this surgery the operation is completed in about 2 1/2 hours. The formidable part of the  surgery to me is the postoperative recovery. Most patients Read More…

The Anatomic Basis of a Non-Incisional Medial Epicanthoplasty

Double eyelid surgery, most commonly associated with Asians, often has an associated epicanthal fold or web. This medial epicanthoplasty is often part of double eyelid surgery although it can also be performed alone. Many different types of tissue transposition techniques have been used to soften or eliminate it but no matter how it is done Read More…

A Quantitative Assessment of Ant Waist Surgery (Free Floating Rib Removal)

An adjunctive surgical procedure to liposuction and abdominal muscle plication for decreasing waistline circumference is rib removal surgery. Practiced by few surgeons around the world it is most traditionally perceived as removal of the floating ribs. (#s 11 and 12) The concept is that these lower ribs, which do not wrap attached the torso and Read More…

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