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Plastic Surgery Case Study – Male Custom Folded Jawline Implant Design for Enhanced Lower Third of the Face

Background: Having a well defined lower third of the face, a good jawline, is one the most important features of the male face. While there are many variations/personal tastes to what makes for a well defined jawline, there are certain essential components to it. These include an adequately projected chin, a desired chin shape (round Read More…

Temporal Muscle Modifications for Migraine Headache Relief

Migraine headaches are multifactorial of which most have no direct case and effect basis for their occurrence. This does not mean that anatomic basis for their occurrence does not exist, just that for many it remains difficult to precisely locate. There is a small percentage of migraine patients in which the symptoms are primarily related Read More…

Plastic Surgery Case Study – Limited Incision Technique in Forehead Bony Reduction

Background: The shape of the bony forehead above the brow bones has numerous features including height, width and shape of its projection. A type of aesthetic bony concern of the forehead is too great a prominence or protrusion. The forehead sticks out and breaks the plane of its projection. The most well known example is Read More…

Plastic Surgery Case Study – Mid-Sagittal Crest Skull Reduction Through A Limited Incision Tunnel Approach

Background: There are numerous types of lumps and bumps that can occur on the skull, many of which have a defined origin and precise location. One of these is the sagittal prominence, a midline crest or ridge of bone that can occur anywhere along the original sagittal suture line. A distant cousin to the more Read More…

Plastic Surgery Case Study – Male Clavicle Lengthening (Shoulder Widening) by Sagittal Split Osteotomy Technique

Background: Clavicle lengthening is one type of shoulder reshaping surgery with the intent of creating a more masculine upper torso appearance. While increased shoulder width is one of the desired effects, changing a rounded shape to a more square or angular shoulder appearance is equally important. Small clavicle lengths create rounder shoulders with a more Read More…

Technical Strategies – Single Plate Clavicle Reduction Fixation for Shoulder Narrowing

In clavicle reduction osteotomies for reductive shoulder reshaping surgery, the key technical step in the procedure is holding the bone in place once it is put back together. This bone fixation is done by titanium plates and screws of which there is a wide variety of types and manufacturers. All of these plate and screw Read More…

Plastic Surgery Case Study – Custom Chest Wall Implant for Ribcage and Breast Implant Asymmetry

Background: In breast augmentation surgery one of the primary goals is symmetry. While the implants may be symmetric in size and volume is not, however, a guarantee that the breasts will be perfectly symmetric afterwards. There are numerous anatomic components around, on top and underneath the breast implants that will play a significant role in Read More…

Custom Implant Design Possibilities for the Treatment of Undereye Hollows

The undereye region is a frequent area of aesthetic dissatisfaction. In the older patient it is sagging lower eyelid skin, bags and wrinkles for which various blepharoplasty and skin resurfacing techniques exist to provide substantial improvements. But in the younger patient aging soft tissues are not the primary cause of undereye concerns. Rather lack of Read More…

Plastic Surgery Case Study – Large Head Widening Reduction by Temporal Muscle Release and Transposition Technique

Background: One of the common aesthetic skull reshaping procedures requested and done is head widening reduction. Better known as temporal reduction the objective of the surgery is to create a narrowing effect (straight line) of an overly convex or round side of the head. While often perceived as accomplished by bone removal it is actually Read More…

Plastic Surgery Case Study – Female Custom Brow Bone Implant for Forehead Reshaping

Background: Like most other facial features the shape of the forehead is gender specific. There are numerous parts of the forehead that differ between women from men but the most obvious is that of the brow bones. In men due to the influence of testosterone the frontal sinuses develop more fully, creating prominent brow bone Read More…