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Plastic Surgery Case Study- Back of the Head Reshaping with Occipital Bone Reduction and Nuchal Ridge Skull Implant

Background: The shape of the back of the head is often overlooked when there is hair to cover it. But for men who have limited hair coverage or, even more relevantly a shaved head, the shape of the back of the head takes on almost as much aesthetic significance as the front of the head. Read More…

Technical Strategies – Hydroxyapatite Bone Cement in Orbital Floor/Rim Augmentation in Vertical Orbital Dystopia Correction

In vertical orbital dystopia (VOD) one eye sits lower than the other which is the direct result of a lower orbital floor and infraorbital rim. While it is uncommon that the lower bony floor of the eye is the only abnormal part of the hard and soft tissue orbital box and the resultant eye asymmetry, Read More…

Clinic Snapshots – Rib Removal Results In Female Bodybuilder With Normal Lat Muscle Function

Rib removal surgery for aesthetic waistline narrowing can be an effective procedure in the properly selected patient. It is typically performed in my extensive experience with the procedure in women who are either seeking a more pronounced shaped waistline that what they currently have or in the transgender MTF patient who is trying create some Read More…

Technical Strategies – Midline Percutaneous Screw Fixation of Custom Brow Bone Implants

Custom brow bone implants are the only permanent and aesthetically effective method for this specific type of aesthetic augmentation of the lower forehead which is most commonly done in men. The implant is placed using an endoscopic technique that in many ways is similar to an endoscopic brow lift, at least in terms of the Read More…

The Positional Stability of Custom Skull Implants As Seen By The Challenges of Their Removal

Custom skull implants are the premier method of aesthetic skull augmentation. They are superior to older style bone cement skull augmentations due to the ability to achieve a much more significant augmentation effect and an assured smooth shape through a small incision. Because it is an implant one of the most common questions from patients Read More…

OR Snapshots – Non-Custom Brow Bone Implant Fabrication

In the lower two-thirds of the face there are numerous standard implants for aesthetic augmentation. In the upper third of the face, however, no such options exist. This undoubtably is because of the low number of patient requests historically for aesthetic forehead and brow bone augmentation. It also speaks to the anatomic reality that the Read More…

Technical Strategies – Low Level Forehead Bump Reduction With A Rasping Tool

Bumps and contour irregularities are not uncommon across the large convex surfaces of the skull. Where they are the most aesthetically bothersome is on the forehead , whether it is on a man or woman, due to its exposure on the face. Some forehead bumps are distinct osteomas with a raised distinct border and a Read More…

Plastic Surgery Case Study – Custom Deltoid Implants for Shoulder Asymmetry Due To Axillary Nerve Injury

Background: The well known deltoid muscle creates the rounded contour of the shoulders. It has at least three main muscle bellies that cover the shoulder joint which originate along the clavicle and scapula and insert into the humerus of the upper arm. It receives its motor innervation from the axillary nerve which originates from cevical Read More…

Plastic Surgery Case Study – Left Temporal Reduction For Side Of the Head Asymmetry

Background: Asymmetries in the shape of the head are not uncommon and come in a wide variety of types. One not uncommon type is that which affects the side of the head and is most noticeable to the patient in the front view. One side of the head sticks out further than the other. Usually Read More…

Plastic Surgery Case Study – Secondary Vertical Chin Lengthening Osteotomy with Interpositional Graft and Subtotal Removal of Prior Fixation

Background: Vertical chin lengthening can be done by either an implant or a lengthening of the bone. While implants have limitations as to how much lengthening can be effectively done, osteotomies do not. While some surgeons feel that the amount of vertical chin lengthening needs to be limited this appears to be based on a Read More…