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Plastic Surgery Case Study – Reshaping the Narrow Male Forehead With Custom Implants Placed Through Eyebrow Incisions

Background: The forehead can have a variety of unaesthetic forms that usually are reflective of the overall skull shape. This is not surprising given that the forehead is one of the five surfaces of an overall convex skull and all develop as a combined structure. This is well illustrated in the narrow forehead which often Read More…

Plastic Surgery Case Study – Total Lower Jaw Augmentation With A Vertical Lengthening Bony Geniopasty and Custom Implants

Background: Aesthetic augmentation of the jawline (lower jaw) is primarily done by implants. For the back part of the jaw (jaw angles) there are no autologous options so implants remain the only method. The chin, however, is different where implants and osteotomies have existed for a long time. This means in total jawline augmentation one Read More…

Plastic Surgery Case Study – Male Custom Forehead – Brow Bone Implant Design and Placement

Background: The shape of the male forehead is associated with more prominent brow bones and a broader width than that of the female. It can also have more of a backward slope than a female but not excessively so. One of the challenges in male forehead augmentation is when the forehead is excessively narrow (pinched Read More…

Saline vs Solid Silicone Testicle Implants – Their Seen and Unseen Differences

There are two types of implants that can be used for aesthetic testicular enhancement. Both provide volume but do so with different characteristics that does affect the aesthetic outcome. In the spirit of the old adage whose origin comes from the advertising world, ‘One Picture Is Worth A Thousand Words’ those differences are visually apparent. Read More…

Technical Strategies – A Three Piece Placement Technique For Large Custom Jawline Implants

Custom jawline implants provide the most effective and complete method of creating a more distinct and augmented lower third of the face. Because of its connected design from one jaw angle to the other (wrap around) it augments the entire inferolateral border of the jawline. While creating such jawline implants creates impressive changes on the Read More…

3D CT Scan Assessment Of Injectable Fillers vs Custom Jawline Implants

When injectable fillers were first introduced they were used for very specific spots areas such as the lips and nasolabial folds. But today there use has extended to every conceivable facial augmentation need or request. Facial bone augmentation by injectable fillers is now commonly done for chin, cheek and jaw augmentation. Beyond the differences with Read More…

Technical Strategies – Anesthetic-Soaked Sponge Replacement for Pain Relief in Rib Removal Surgery

In waistline narrowing surgery the distal sections of the lower free floating ribs are removed to allow the waistline to collapse inward. While the ribs are not the only structures supporting the width of the waistline they are the most rigid. Without rigid support the soft tissue layers of the waistline eventually contract down/inward, very Read More…

Plastic Surgery Case Study – Large Clavicle Bone Removals in Shoulder Narrowing Surgery in a Tall Female

Background: Shoulder narrowing by clavicle bone reduction is an effective procedure in body feminization efforts. The most important components of the procedure are how much bone to remove and what type of bone fixation should be used to support it as it heals. Patients understandably focus on how much bone is to be removed as Read More…

Technical Strategies – The Small Incision Sliding Genioplasty Using A Tunnel Technique

The well known sliding genioplasty is sometimes selected by patients because they wish to avoid a submental scar from a chin implant. The incision location may not be the primary reason but may on the list of several motivations for choosing a bony chin augmentation procedure.While an intraoral incision avoids a scar it has its Read More…

Gender Differences in Custom Brow Bone Implant Designs

While brow bone reduction is fairly well known because of the emergence of facial feminization surgery, less is known about its opposite cousin brow bone augmentation. While aesthetic brow bone augmentation has been done sporadically for years there has never been a completely satisfactory method for doing so. Different biomaterials have been used, usually hand Read More…