Category: OR snapshots | skull reshaping

OR Snapshots – Two-Piece Custom Skull Implant in Large Skull Augmentations

Skull reshaping using implants is the only effective method for augmenting head shape. While certain bone and muscle removals can be done for more limited skull reductions, skull augmentations can produce much more dramatic changes. In essence, the stretch of the scalp is far more permissive than the thickness of the skull bones. In very Read More…

OR Snapshots – The Macroporous Custom Skull Implant

Custom skull implants have become a reliable and safe method of various types of skull augmentation. Made from the patient’s 3D CT scan, they cover the desired skull surface with a precise fit and a smooth outer surface that blends well into the surrounding bone/muscle areas. The most careful judgment has to be made in Read More…

OR Snapshots – The Open Rhinoplasty

Rhinoplasty surgery requires incisional access to perform osteocartilaginous reshaping. The most common historic technique was the ‘closed approach’ where all incisions were placed inside the nose. Because this provided limited visual access it took a lot of experience to master aesthetic nasal surgery. This was the standard in rhinoplasty until the 1990s were it was Read More…

OR Snapshots – The Abdominal Panniculectomy (Apron Removal)

The abdominal panniculectomy procedure is well known to be a ‘big’ operation. It is the supersized version of the traditional tummy tuck and is often judged by the weight of the pannus removed. The largest abdominal pannus I have ever removed is 85lbs and that was back in the pre-bariatric surgery era…when the abdominal panniculecomy Read More…

OR Snapshots – Injectable Diced Cartilage Grafting Technique

Rib grafts are a well known autologous graft in rhinoplasty for significant augmentation. The rib graft can be used as either a solid piece (en bloc) or can be diced into very small cubes and turned into a sausage-like wrap. Both rib graft methods have their advantages but the diced technique effectively eliminates any chance Read More…

OR Snapshots – Aesthetic Temporal Artery Ligations

Prominent bulges in the temporal region are almost always caused by the temporal arteries. The superficial temporal artery comes off the facial artery in the neck and courses upward in front of the ear. Once it reaches a typical landmark point of 1 cm in front of the ear and 2 cms about that point, Read More…

OR Snapshots – Diced Rib Graft Rhinoplasty

A significant build-up of the nose requires a combination of bridge and tip augmentation. In primary rhinoplasty this is usually needed in many ethnic patients who lack nasal projection from the face. This may also be required in revision rhinoplasty when over reduction has been done from a prior procedure. In such cases the key Read More…

OR Snapshots – Liposuction and the Appearance of Boiling Fat

Liposuction is one of the most common and recognized procedures in plastic surgery. By the way it looks in watching the procedure and how it is commonly perceived by the public, liposuction appears to be as simple as ‘sucking fat out’. But the reality is that it is a more complex extraction process than its Read More…

OR Snapshots – Total Ear Reconstruction with Temporoparietalfascial Flap

Loss of the ear through either traumatic amputation or from tumor resection poses major reconstructive challenges. There is not only the replacement of the supporting ear cartilage that is responsible for making the ear look like an ear. But there is also the replacement of the lost skin that covers the underlying ear framework. The Read More…

OR Snapshots – Puffy Nipple-Areolar Gynecomastia Reduction

Gynecomastia is a well known breast enlargement condition that occurs in men of all ages. Like the broad age range that it affects, gynecomastia also occurs in a wide variety of expressions or degrees of breast enlargement. While often perceived as the appearance of an actual breast mound, most gynecomastias present as much smaller masses. Read More…