Category: OR snapshots | rib removal

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…

OR Snapshots – The Extended Temporal Implant for a More Complete Correction of Temporal Hollowing

Temporal hollowing is commonly treated by injectable fillers and fat injections. While both of these injection methods have their merits, the assured permanent temporal augmentation method is with the use of an implant. Temporal implants are newer forms of facial implants that are specifically designed to replicate the soft feel of muscle rather than that Read More…

OR Snapshots – Liimting the Incision Length in Submental Chin Reduction

Chin reduction is a far more challenging operation in many ways than chin augmentation. Unlike chin augmentation, which rarely has to consider the overlying soft tissue because it stretches it out, this is a major consideration when making the chin smaller. While the chin bone can be reduced in all of its dimensions (height, width Read More…

OR Snapshots – Temporal Reduction for Head Width Narrowing

The size of one’s head can be judged from different dimensions. One of these dimensions is head width, which is judged by the appearance or size of the head above the ears. A normal head width does not stand out and has either a flat to a very slightly convex shape. It lies well inside Read More…

OR Snapshots – Greater Occipital Nerve Decompression for Migraine Headache Relief

Migraine surgery has become popular for the few select headache patients who fulfill specific selection criteria. Having reproducible headache symptoms that correlate to specific cranial nerve locations makes the concept of nerve decompression potentially successful. Based on the premise the nerve is being pinched as the initiator of the headache attacks serves as the biologic Read More…

OR Snapshots – Posterior Temporal Implant for Head Widening

The side of the head is typically seen or described as the area above the ears. It is influenced by a variety of constituent anatomic structures including bone, muscle and skin. Their thicknesses and the ratio of tissue proportions between them all contribute to the flatness or convexity of the side of the head. The Read More…

OR Snapshots – Posterior Cheekbone Reduction Osteotomy

Reduction of prominent cheekbones requires some form of bone reduction. While some may think that shaving or burring can reduce the width of the cheekbones, this is largely an ineffective technique. This is because the only portion of the cheekbone that is accessible for shaving is the most anterior portion right below the eye. This Read More…

OR Snapshots – Chin-Jawline Implant for an Extended Chin Augmentation Result

Chin augmentation has been done for a long time and many different implant materials and shapes have been used. The most common chin implant used today is that of an extended or anatomic design. Rather than just sitting on the front edge of the chin this contemporary chin implant is anatomic as its side wings Read More…