Category: custom facial implants | OR snapshots

OR Snapshots – Perfusion Hole Tissue Ingrowth in a Custom Forehead Implant

Custom implants made from the patient’s 3D CT scan are the most effective method of aesthetic skull augmentation. Whether it is the forehead, back of the head, temporal areas or top of the skull, covering large skull surface areas with a desired and smooth shaped implant requires a thoughtful preoperative design process. At the very Read More…

OR Snapshots – The Color Differences in the Fat Pads Seen in Transconjunctival Lower Blepharoplasty

The eyes are one of the first facial areas that are affected by aging. Excess skin, fullness from fat herniation and skin wrinkles are the typical manifestations of the periocular aging process. Because of the movement differences the upper and lower eyelids present somewhat different aging issues. The upper eyelid, because of its greater movement, Read More…

OR Snapshots – Eyelid Incisions for Custom Brow Bone Implant Placement

Augmentation of the brow ridges can be done by a variety of techniques. Injectable fillers is the non-surgical approach and, while it can be effective, their effects will be temporary. Fat injections offer a minimally invasive surgical method but how well the fat survives and whether it will be smooth is unpredictable. While both injectable Read More…

OR Snapshots – Facial Fat Injection Concentration by Gravity Separation (Decanting)

Fat transfer is tremendously popular as a material option for facial voluminization. Almost any patient has adequate donor material and as an autologous graft there are no real medical downsides to using it. The face is a well vascularized recipient site so, in theory, injected fat should survive well. But as we all know such Read More…

OR Snapshots – Skin Flap Closure over the Ear in Facelift Surgery

The facelift operation is one of the most recognizable anti-aging facial surgeries. Since its inception over one hundred years ago, when it got its original name of rhytidectomy or the excision of facial wrinkles, it has undergone many technique advancements and variations. Many of these have been done on what lies under the skin with Read More…

OR Snapshots – The Postauricular Muscles and Temporal Reduction Surgery

Temporal reduction is an innovative surgery to reduce the width of the side of the head. While most think that the side of the head is composed of bone based on its firm feel, a significant part of its thickness is actually muscle. By removing the full-thickness of the posterior portion of the temporal muscle Read More…

OR Snapshots – ePTFE Orbital Rim Implant for Undereye Hollowing

The treatment of undereye hollows is most commonly done by injection techniques. Using synthetic fillers and autologous fat, adding volume to the deficient infraorbital rim by injection offer an immediate voluminizing effect in a non-surgical manner. When effective these injections are very treatments even if their volume effects are not maintained long-term. But the infraorbital Read More…

OR Snapshots – Management of the Bony Stepoff in the Sliding Genioplasty

The sliding genioplasty is a well known chin reshaping procedure that is most commonly associated with a horizontal advancement augmentation. In so doing it is recognized that there will be a resultant ‘step off’ that did not previously exist. As the lower downfractured bone segment is brought forward underneath the fixed superior bone segment, a Read More…

OR Snapshots – Scrotal Reduction and Lift Using the Midline Raphe Approach

The scrotum is a dual-chambered containment tissue sac that contains the testicles and its neurovascular pedicles. It is composed of numerous tissue layers of which the most obvious is the overlying skin. This skin is unique in its appearance in which it has an irregular textured surface. Whilst often appears as thin skin, it is Read More…

OR Snapshots – The Soft Tissue ePTFE Jaw Angle Implant for Masseteric Muscle Dehiscence

The masseter is the largest muscle on the face that has its bony origin and insertion there. It is a muscle that needs to be elevated by subperiosteal dissection for any form of jaw angle surgery including implants. While lifting the muscle up is a seemingly innocuous maneuver there is always the risk of it Read More…