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Rib Removal vs Rib Fracturing in Waistline Narrowing Surgery

Rib removal is an effective, but not yet widely recognized, procedure to create the effect of waistline narrowing. By changing the lateral protrusion of the lower ribs, particularly the free floating ones (ribs # 11 and 12), the bony support of the outer waistline is reduced.  One of the very interesting questions about rib removal Read More…

Technical Strategies – Endoscopic Browlifting with Bone Tunnel Fixation

There are multiple techniques for browlifting surgery which differ by incision location and how the browlift is performed. (tissue excision vs tissue shifting) The endoscopic browlift technique is a tissue shifting method based on forehead skin and scalp relocation through subperiosteal mobilization and tissue fixation in an elevated and relocated position.While effective patients with a Read More…

Plastic Surgery Case Study – Male 3 Stage Chin Augmentation Journey

Background: Chin augmentation for many patients can largely be a one dimensional operation. For those who do not need any vertical change (lengthening or shortening) and width is not a significant concern, then the amount of horizontal augmentation desired in profile becomes the goal and measure of success of the surgery. Regardless of how the Read More…

The 3D Bony Anatomy of Chin Clefts and Dimples

The chin is a unique facial area because its surface can have some very distinct  features. Two types of topographic chin features can occur, dimples and clefts. While often confused they are different in shape. A chin dimple is located in the central chin pad and is a circular indentation. A chin cleft is a Read More…

Plastic Surgery Case Study – Sliding Genioplasty Replacement for A Symptomatic Chin Implant with Pre-Existing Mentalis Strain

Background: Chin implants in females are commonly performed but must take into consideration how their aesthetic objectives differ from men. Chin augmentation is often made too dimensionally simplistic by just looking at the patient’s profile and making all decisions based on how much projection is being created. The change that occurs in the frontal view Read More…

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