Category: brow bone reduction | OR snapshots

OR Snapshots – Transpalpebral Brow Bone Reduction for Vertical Eye Opening

Brow bone reduction surgery reduces the prominence of the supraorbital ridges of the forehead and can be done in both men and women. Whether done for males to reduce the ‘Neanderthal’ brow or in male to female transgender facial feminization procedures, the main direction of reduction is in the horizontal dimension. Reducing the brow bone Read More…

OR Snapshots – Sagittal Crest Skull Reduction

A bony ridge that runs down the midline of the head is known as a sagittal crest. This is a palpable raised ridge of bone that when high enough can cause a peak-shape to the head from the front view. The normal more convex shape off the head becomes more triangular shaped. This is most Read More…

OR Snapshots – Custom Occipital Skull Implant for the Flat Back of the Head

There are over fifteen types of aesthetic skull deformities. But the most common amongst them is various forms of flattening of the back of head. Perhaps because the back of head is exposed to various pressures in utero and after birth more than any other area of the head, it is prone to deformational pressures Read More…

OR Snapshots – The Fate of the Cut Muscle Edge from Temporal Reduction Surgery

Temporal reduction is an effective method for narrowing the wide head. The wide head is defined as the area above the ears that has too much convexity or fullness. Extreme fullness at the sides of the head occurs when the width of the head gets near a vertical line drawn up superiorly from the inside Read More…

OR Snapshots – Extended Arch Cheek Implant Replacements

Cheek implants can be the most difficult to decide preoperatively as to their style and size. Because the cheek is an oblique structure and not a profile one, it defies any exact measured target to achieve. The cheek does have very specific zones of augmentation, four to be exact, and it becomes important to consider Read More…

OR Snapshots – Facial Cyst Removal

Lumps and bumps of the face are common. They are usually located in the subcutaneous layer right beneath the skin and, in some types, are directly attached to the underside of the skin. The most common pathologies are sebaceous cyst, dermoid cyst and lipoma. While they are benign they will usually continue to grow. While Read More…

OR Snapshots – Titanium Mesh Skull Implant for Defect Coverage

Reconstruction of the skull can be done using a variety of alloplastic materials. Over the years synthetic cranioplasties have evolved from solid metal plates to bone cements to computer-generated implant replacements of lost bone. While some techniques are most historic than others, each still has a role to play in contemporary cranioplasty surgery. When there Read More…

OR Snapshots – The Cartilaginous Ends of Rib Removal Surgery

Rib removal is the last surgical option for maximal waistline reduction. After liposuction the only remaining anatomic obstruction is the lower ribcage. The outer and downward flare of the free floating ribs does influence the width of the waistline at the horizontal level of the umbilicus. Contrary to its perception rib removal is not a Read More…

OR Snapshots – Rib Graft Tip Rhinoplasty

While many rhinoplasties are reductive in their overall reshaping effect, some require the addition of support or structure through the use of autologous tissue grafts. Most noses can be satisfactorily augmented or rebuilt through the use of septal, ear or combining septal and ear cartilage grafts. But when such local and regional cartilages harvest sites Read More…

OR Snapshots – Neurovascular Bundle Preservation in Rib Removal Surgery

Rib removal can be done for a variety of aesthetic and medical purposes. The most common aesthetic reason is for horizontal waistline narrowing with the subtotal resection of the truly free floating ribs. (#s 11 and 12) Through a small obliquely oriented skin incision on the back the midportion of the ribs are identified just Read More…