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Clinical Outcomes in Rib Removal Surgery for Waistline Reduction
Rib removal surgery represents the elimination of the last anatomic...
The Surgical Technique of Clavicular Osteotomies in Shoulder Width Reduction
Shoulder width reduction is done by shortening the length of the...
The shape and appearance of the forehead is highly influenced by...
Background: The evolution of rhinoplasty surgery over the past twenty years...
Male and female midface implant strategies differ less by implant type and more by shape, vector, and projection philosophy. The goal is to reinforce sex-specific skeletal cues rather than simply “add volume.” Core Aesthetic Differences Feature Male Strategy Female Strategy Dominant cue Structure & angularity Soft contour & curvature Projection emphasis Lateral / horizontal Anterior Read More…
The midface is a unique facial implantation area because it is a combination of a high bony convexity (infraorbital-malar) and a large more inferior maxillary concavity. This creates well known midfacial augmentation areas for which numerous standard implants have been designed with an extensive clinical history of use. But such standard implant styles and sizes Read More…
Nasal Implant Modification Case Study Introduction Nasal implants are synthetic materials placed inside the nose to enhance its structure or shape. They are commonly used in primary and revision rhinoplasty—particularly when patients require additional support or volume along the nasal bridge. Most often, this refers to strengthening or augmenting a low or weak bridge, a Read More…
Aesthetic Augmentation of the Midface: Maxillary Implant Options Historically, midface enhancement has been achieved using commercially available, off-the-shelf cheek implants. These come in two primary styles: malar and submalar. Malar implants primarily augment the cheekbone itself. Submalar implants target the underside or concave area of the cheekbone, extending into the upper soft tissues of the Read More…
Background: Optimal augmentation around the orbit and cheeks is ideally done with a custom implant design. Some aesthetic cheek augmentations need a significant orbital component, most commonly along the infraorbital rim but may also include the lateral orbital rim as well. Often the desire for such an implant design is learned from the use of Read More…
Background: There are many different types of standard facial implant styles including chin, cheek, nasal, jaw angle, tear trough/infraorbital, temporal and paranasal. Of all these off-the-shelf implant options the paranasal is unique with two distinctions. It is the smallest implant in size and probably the most infrequently used. It is also rarely in my experience Read More…
There are a variety of implant materials that can be used for both standard and custom facial implants. These include solid silicone, porous polyethylene (Medpor, Omnivore and Supor), PEEK and titanium. While surgeons may often tout one material as being superior to another this is simply not accurate. All of the mentioned implant materials can Read More…
The most common potential adverse affect relating to facial implants is the concern about bone erosion. While this is certainly not the most common complication from facial implants it is certainly one that is widely spoken about albeit biologically incorrect. The term erosion goes back over 50 years from looking at some chin implants in Read More…
Paranasal deficiency is a common midface aesthetic concern in which the base of the nose lacks sufficient horizontal projection. While it is common phenotypic feature of the Asian face it can occur in any ethnicity or gender. The treatment of paranasal deficiencies has its historic origins as an adjunctive procedure to augmentative rhinoplasty as nasal Read More…
Cheek augmentation, particularly when done with implants, is typically perceived and done as a ‘lower cheek augmentation’. The tail of the implant may be up on the cheekbone but most of the implant is over onto the cheek soft tissues and the concave maxilla. The placement of cheek implants in this location can create a Read More…
Clinical Outcomes in Rib Removal Surgery for Waistline Reduction
Rib removal surgery represents the elimination of the last anatomic...
The Surgical Technique of Clavicular Osteotomies in Shoulder Width Reduction
Shoulder width reduction is done by shortening the length of the...
The shape and appearance of the forehead is highly influenced by...
Background: The evolution of rhinoplasty surgery over the past twenty years...