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OR Snapshots – Calf Implants and the Peroneal Nerve

Calf implants involve dissection from incisions on the back of the knee inferiorly down to the gastrocnemius muscle fascia. The fascia is then entered so that the implant can be placed underneath it on top of the muscle. There are two gastrocnemius muscles,  an inner or medial muscle belly and an outer or lateral muscle Read More…

OR Snapshots – Calf Implants and the Sural Nerve

Calf implants are placed on top of the gastrocnemius muscles but under their overlying enveloping fascia. To place the implants separate small incisions are placed on the back of the knee in the popliteal crease above each muscle head. From the incision to the gastrocnemius fascia it is necessary to dissect past the semimembranous/semitendinous tendons Read More…

OR Snapshots – Rib Graft Rhinoplasty for Scarred Collapsed Nasal Tip

Revisional rhinoplasty frequently needs cartilage grafts to be successful. This is particularly relevant when structural deficiencies has occurred resulting in an underprojected nose, breathing difficulties due to middle vault collapse or both. Often, however, the regional harvest sites of the septum and ear have been exhausted or have insufficient volume for the needed nasal support Read More…

OR Snapshots – Stacked Chin Implants

Chin implants are the most common form of chin augmentation surgery and are effective for mild to moderate horizontal deficiencies. But in more significant horizontal chin deficiencies the selected size may still be inadequate. Or the patient may decide later once all the swelling has gone down that they really want a larger implant size. Read More…

OR Snapshots – Calf Implants and the Sural Nerve

Augmentation of the calfs is most effectively done using implants. The placement of calf implants is on top of the gastrocnemius muscles underneath its fascial covering. Placed through small incisions in a skin crease behind the knee, the fascial plane is relatively easy to find and enter. There are few anatomic structures of which to Read More…

OR Snapshots – Perioral Mound Subcutaneous Fat Layer

Like the body the face has numerous fat collections/compartments that lie either right under the skin or within or around deeper structures.  Unlike the body, however, the fat locations in the face are more limited and less easily accessed for removal. The most well known facial fat collection is the buccal fat pad which can Read More…

OR Snapshots – The Open Wedge Vertical Lengthening Bony Genioplasty

The most common chin deficiency is that of a horizontal recession. This is evidenced by the many chin implant styles of which almost all of them provide horizontal augmentation of various amounts. The second type of chin deficiency which is far less common is that in the vertical dimension. Vertical chin deficiencies may exist in Read More…

OR Snaphots – The Fat Pads of Lower Blepharoplasty Surgery

Lower eyelid bags are a well recognized facial feature that is typically associated with looking tired and/or being older. Appearing as ballooned lower eyelids they are one of the easily seen of all aesthete eyelid deformities with a convex rather than a concave lower eyelid shape. While there may be a skin component to lower Read More…

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