Blog

Plastic Surgery Case Study – Custom Jawline Implant Replacement for Standard Chin and Jaw Angle Implants

Background: The most common methods of lower facial (jawline) augmentation are either non-surgical temporary injectable fillers or permanent surgically placed implants. The use of standard chin and jaw angle implants offers a convenient option for permanent jawline augmentation that requires no significant presurgical preparation with fairly low implant cost. It is also the surgical jawline Read More…

Contemporary Understanding of Facial Implant Bone Imprinting By 3D CT Scans

One of the most common misconceptions about facial implants is that they cause bone erosion. Most of this perception comes from the appearance of the bone in profile in chin implants on lateral cephalometric x-rays going back many decades. Other perceptions of this phenomenon are from surgeon’s observation during chin implant removal and/or replacement where Read More…

The ePTFE Paranasal Implant for Deeper Nasolabial Folds

Central midface augmentation refers to varying amounts of pyriform aperture implant coverages. The most common area is the paranasal region which lies under the base of the nostrils. This maxillary region has a slightly concave surface contour as a defined rim of bone around the nasal cavity. It is typically treated as a skeletal deformity Read More…

Techical Strategies – The Angulated Muscle Cut in Temporal Reduction Surgery

Temporal reduction is an effective strategy for reducing the width of the side of the head. The temporal region makes up the entire width of the head and is uniquely different from the rest of the skull. It is the only area of the skull in which a large muscle layer exists which contributes significantly Read More…

Plastic Surgery Case Study – Correction of Anterior Plagiocephaly with a Custom Forehead Implant

Background: Plagiocephaly is a well known congenital head shape deformity that typically occurs from external deformational forces. Because the most common deformational force on the head in a baby is positioning (laying on one side), the back of the head is most affected. This is typically seen with one side of the back of the Read More…

Plastic Surgery Case Study – Total Flat Back Of Head Reshaping With Custom Skull Implant and Temporo-Parietal Reductions

Background: While the most common non-synostotic congenital skull deformity is plagiocephaly, less commonly seen is its ‘cousin’ brachycephaly. As opposed to a unilateral flattening on the back of the head in plagiocephaly, brachycephaly is when the entire back of the head is flat. While it can have synostotic origins like some forms of plagiocephaly most Read More…

Plastic Surgery Case Study – Shoulder Widening By Clavicle Lengthening in a Very Muscular Male

Background: The clavicle provides the structural bar of support for the shoulder to keep it at a good distance from the sternum. As a result it allows the arm to have a good range of motion along with a variety of other musculotendinous attachments. When it comes to shoulder narrowing surgery shortening of the length Read More…

The Submental Incision in Custom Jawline Implant Placements

The custom jawline implant is the most powerful implant enhancement for the lower face. Often called a wraparound jaw implant its effectiveness is based on augmenting the entire inferolateral border of the lower jaw in a 3D fashion, a feat that can not be accomplished by any other surgical technique. This is best appreciated when Read More…

Plastic Surgery Case Study – Occipital Knob Skull Reduction in a Thin Hair-Bearing Male Scalp

Background: While bony bumps can appear on the skull at any location for a variety of reasons, the most classic and consistent skull bump is the occipital knob. This discrete bump of bone occurs at the base of the skull at the back of the head in the midline. It is consistent in its location Read More…

Plastic Surgery Case Study – Clavicle Reduction Osteotomies for Shoulder Reshaping In A Tall Thin Female

Background: The functional role of the clavicles is to provide support to the shoulders. It is an elongated s-shaped bone that sits at the top of the ribcage and provides a rigid but mobile strut between the sternum and the shoulder. This mobility is due to two joints, one on each end of the bone. Read More…