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Premaxillary Augmentation By Soft Tissue Release And Plate Fixation

Augmentation of a deficient central midface can be done by a variety of methods including anterior maxillary movements, autologous vs allogeneic bone and cartilage grafts as well as implants. Most adult patients are not going to opt for major LeFort procedures and, as a result, augmenting the premaxillary-nasal base region remains the primary method for Read More…

Combination Browlift and Frontal Migraine Surgery

One of the essential steps in any form of a browlift is a periosteal release along the superior orbital rims. In so doing it is necessary to locate and release the tight tissues around the supraorbital nerves. Its purpose is to protect the nerves in the processing of ensuring the lower forehead tissues are adequately Read More…

Paranasal Augmentation With Diced Rib Graft Cartilage

The most common site of midface augmentation (minus the nose) is the nasal base. While the nasal base is composed of a concave paranasal and a convex central premaxillary regions, it is the larger and bilateral paranasal concavities that are the most frequently requested for augmentation. Such paranasal augmentations have been done for decades and Read More…

Jaw Asymmetry As An Indication For Custom Jaw Angle Implant Designs

Of all the common sites of aesthetic facial implant augmentation, the jaw angles in my experience pose the greatest challenges. Not only getting the correct dimensional shape for each patient defies any conventional measurements but they are also the most difficult to accurately place in the correct position on the bone. Placing an implant through Read More…

Plastic Surgery Case Study – Sliding Genioplasty with Soft Tissue Resuspensions To Treat Chin Pad Ptosis from Infected Chin Implant Removal

Background:  In placing a chin implant there are two approaches, intraoral and submental incisional access. Each has their advantages and disadvantages. What is most obvious to the patient is that the intraoral approach avoids an external scar with a somewhat higher risk of infection. The submental approach has a lower risk of infection but at Read More…

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