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Plastic Surgery Case Study – Webbed Neck Correction Using A Posterior Approach With Diamond Pattern Skin Excision and Trapezius Muscle Relocation

Background: The webbed neck is a well known congenital neck deformity that has a variety of origins. While the syndromic versions seen in Turner’s and Noonan’s are well described there are equal if not greater number of webbed necks that are non-syndromic.They exist without other physical abnormalities and with no genetic markers of other syndromes. Read More…

Corseting Garments After Rib Removal Surgery

Rib removal surgery represents the ultimate or final surgical procedure for those women seeking waistline reduction/narrowing. By removing fat, muscle and free floating rib support at the waistline level whatever reductive narrowing effect that is possible will be achieved. But like any other body contouring surgery there will be expected swelling and soft tissue remodeling Read More…

Plastic Surgery Case Study – Secondary Hardware After Clavicle Reduction Osteotomies for Shoulder Reshaping

Background: Clavicle reduction osteotomies has become an effective surgery for patients affected by dysphoria of their shoulder width and square shape. It works by the obvious shortening of the length of the clavicle which produces close to a linear reduction effect. But it also has a rounding effect on the shoulders given the lazy s-shape Read More…

Plastic Surgery Case Study – Long-Term Results of a Central Wedge Resection Technique in Macrotia Reduction Surgery

Background: The ear occupies the side of the head and is a frequently overlooked facial feature given its location. It only becomes aesthetically relevant when some feature about it makes it stand out. The most common aesthetic ears deformity is protrusion, the ear sticks out too far from the side of the head with an Read More…

Plastic Surgery Case Study – Upper Facial Masculinization with a Custom Forehead-Brow Bone Implants

Background: There are numerous facial feature differences between men and women which can be separated by anatomic site. The foreheads eyebrows, eyes, nose, cheeks, chin, jawline and lips all have specific gender specific shapes. The largest of these anatomic areas by surface area is the forehead which occupies more than a third of the total Read More…

Plastic Surgery Case Study – Achieving Permanent Upper and Lower Lip Pouts by Subtotal Vermilion Advancements

Background: Lip augmentation is one of the most commonly done injectable fillers treatments for women. It is both very effective and versatile and can create almost any type of lip augmentation change a patient desires. But it does have one drawback…it is not permanent. And while lip injections can be repeated many times the inconvenience, Read More…

Plastic Surgery Case Study – Making A Smaller But Structurally Stable Nose

Background: Making a nose smaller is a fairly common request in patients seeking rhinoplasty surgery. Most of these requests often refer to one specific nasal feature, such as a reduction of a prominent hump or a large nasal tip. The goal is to bring back the larger unaesthetic nasal feature into proportion with the rest Read More…

Plastic Surgery Case Study – The Custom Cheek Implant for Depressed ZMC Fracture Reconstruction

Background: One of the most common facial fractures is that of the cheekbone or malar bones. Anatomically this is known as the ZMC or zygomaticomaxillary complex, a name that comes from the four bony legs that support the projection of the cheek bone…the inferior posterior maxillary buttress, the lateral zygomatic arch, the superior lateral orbital Read More…

Secondary Fixation Hardware Removal After A Sliding Genioplasty

The sliding genioplasty is a commonly performed aesthetic facial procedure for those that prefer or need an autologous chin augmentation approach. There are numerous variations on how the chin bone is cut and moved for this operation but, in the end, they all need some method of bone fixation. Titanium plates and screws are the Read More…

Plastic Surgery Case Study – Sliding Genioplasty Replacement for an Inadequate Chin Implant Result

Background: Implants remain the most common form of chin augmentation due to their immediate effects and relative simplicity of the surgery. But chin implants have their limitations including the risk of infection, implant malposition and inadequate amounts of augmentation. When the postoperative problem is an inadequate augmentation result the question becomes whether to replace the Read More…