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First Stage Dermal-Fat Grafts for Soft Tissue Restoration in Deltoid implants

Custom deltoid implants can be considered for visible deltoid/shoulder hollowing after shoulder replacement, but they are contour-restoration devices, not functional muscle replacements. Key points: After reverse shoulder arthroplasty, deltoid quality matters because the deltoid becomes the main elevator of the arm. Deltoid atrophy or nerve injury can affect function. A solid silicone custom deltoid implant Read More…

Plastic Surgery Case Study – Custom Deltoid Implant Replacements in Shoulder Reshaping Of Muscle Loss After Axillary Nerve Injury

Background: When significant atrophy of the deltoid muscle occurs a bony shoulder appearance results. This most commonly occurs after an axillary nerve injury. The significant shrinkage of the muscle skeletonizes the AC joint and the upper humerus creating significant shoulder asymmetry. Restoration of the atrophic deltoid muscle can be done by soft tissue techniques such Read More…

Surgical Placement Technique for Subfascial Deltoid Implants

For men who seek wider shoulders beyond that of exercise there are three surgical options. The medial bone-based approach is clavicle lengthening while the lateral soft tissue methods include deltoids implants and deltoid fat injections. Each of these shoulder widening methods has their advantages and disadvantages and no method is perfect.  The lateral soft tissue Read More…

Clavicle Lengthening By Osteotomy and Bone Grafting For Shoulder Width Augmentation

Aesthetic changes to the width of the shoulder can be done by a variety of surgical techniques. For shoulder width reduction only one surgical method exists…clavicular reduction osteotomies. Conversely shoulder augmentation can be done by three different methods which are performed at different shoulder locations. Deltoid muscle augmentation can be done by either injectable fat Read More…

OR Snapshots – Deltoid Muscle Augmentation by Fat Injections

Implants are most commonly used for aesthetic augmentation of numerous muscle areas of the body. These include the chest (pectoral implants), calfs (calf implants), and buttocks. (gluteal implants) Less frequently performed, although no less successful, is that of the upper extremity of the biceps and triceps muscle. One other muscular augmentation area of the upper Read More…

Technique for Deltoid Augmentation by Fat Injection

The treatment options for small shoulders or lack of adequate/desired deltoid muscle size has historically been the placement of implants. True deltoid implants as an off-the-shelf device does not exist due to lack of patient demand. But when a patient does request deltoid implants, they can be done using other modified body implants or they Read More…

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