Blog

Plastic Surgery Case Study – Custom MIdface and Jawline Implants in Reconstruction of Hemifacial Atrophy from Parry-Romberg Syndrome

Background: Facial asymmetries often have a contributing bony basis to them whether they are developmental, traumatic or pathologic in origin. One extremely unique cause of facial asymmetry is Parry-Romberg syndrome also known as craniofacial linear scleroderma. In this well known but biologically not yet understood syndrome atrophy of the facial soft tissue starts usually along Read More…

Shoulder Narrowing Surgery Recovery – The First Two Weeks

Shoulder narrowing surgery by clavicle reduction osteotomies is a very effective surgery but comes with its own unique recovery process. Unlike the seemingly similar procedure of clavicle fracture repair (which it is not) which involves early mobilization and physical therapy, clavicle reduction osteotomies do not. Since there has been no trauma to the distal end Read More…

Plastic Surgery Case Study – Custom Midface Implant for Aesthetic Periorbital- Cheek-Maxillary Augmentation

Background: Midface augmentation is a common aesthetic requested procedure done today by either injectable fillers or implants. But no matter how the augmentation is performed it is really a ‘spot’ technique which focuses on specific midface areas like the cheeks and undereyes which are common areas of aesthetic deficiencies. Available off the shelf implants clearly Read More…

OR Snapshots – Buccal vs Abdominal Fat For Facial Fat Injections

Fat injections are a common method today for soft tissue augmentation whether it is for reconstructive or aesthetic purposes. An injection approach offers a versatile method of instilling a soft tissue graft in almost any anatomic location. How successful such fat injections are depends on a variety of factors from method of harvest and preparation Read More…

PLastic Surgery Case Study: Shoulder Narrowing Surgery in Large Cross-Sectional Diameter Clavicles

Background: The collarbones are very visible in both male and females but little regard is paid to their actual shape and size. The size of the clavicles is typically perceived as how prominent they are but that is not a reflection of their actual length and thicknesses. Rather that is a function more of how Read More…

Plastic Surgery Case Study – Temporal Implants Placement through Frontal Hairline Advancement Scars

Background: While temporal augmentation can be done by injection techniques, implants provide a permanent effect. There are different styles and thicknesses of these implants so most patients can use them off-the-shelf for their temporal augmentation needs. They are also very modifiable in surgery so the implant length can readily be adapted to the patient’s distance Read More…

Plastic Surgery Case Study – Ligamentous Muscle Releases in Custom Female Jawline Implants

Background: Augmentation of the lower third of the face frequently involves placing an implant at the jaw angle area. Whether done as an isolated jaw angle implant or part of an overall custom jawline implant placement of the implant involves knowledge and manipulation of the masseter muscles. This is distinctly different than that of chin Read More…

Incision, Ear and Hairline Management in Facelift Surgery

The facelift is a well known facial rejuvenation procedure that has had many technical and some conceptual variations over the years. The biggest innovation and recent is for the deep plane facelift. One could debate what constitutes a deep plane facelift at the SMAS and sub-SMAS layers but the concept is anatomically sound…release and lift Read More…

Plastic Surgery Case Study – Forehead Asymmetry Correction with a Custom Mirrored Implant Design

Background: Like all facial features the forehead is prone to asymmetries. Given its large surface area such forehead asymmetries can readily be seen. Forehead asymmetries that are developmental in origin are most commonly caused by abnormalities in skull development (plagiocephaly) due to a rotational twist of the craniofacial axis. As a result there is a Read More…

Plastic Surgery Case Study – The Significance of the Chin in Custom Jawline Implants

Background: The most frequent implant augmentation of the face is the chin. As only one of two solitary projecting structures of face (the nose is the other) a visible and proportionate chin shape has long been recognized as an important aesthetic facial feature. As a result chin augmentation has been practiced for half a century Read More…