Category: custom facial implants | OR snapshots

OR Snapshots – The Evolution of Jawline Implant Augmentation

Facial implants, like every other medical technology, continues to evolve with time. Some implant materials and shapes that were used decades ago have become discontinued and replaced with newer designs and material developments. When unearthing some of these older implants today for replacement or even seeing them on 3D CT scans can seem archaic by Read More…

OR Snapshots – Lateral Facial Liposuction

Liposuction is a well known method for fat removal that is mainly done on the body. The only facial area that is known to commonly undergo fat removal is in the neck, usually referred to as either submental, neck and jawline liposuction. But this is not really the face as defined by any location north Read More…

OR Snapshots – Buccal Lipectomy after LeFort I Osteotomy

The buccal lipectomy is a well known and popular cheek reshaping procedure. By removing part or all of this encapsulated fat pad the fullness of the cheeks is reduced creating a modest to moderate facial slimming effect. The buccal fat pad is a unique appearing fat with a bright yellow color, large lobules, a vascular Read More…

OR Snapshots – The Unknown Benefit of Suture Fixation of Testicle Implants

The testicles are a unique anatomic structure in the scrotum. They are basically oblong firm structures that are suspended inside the scrotal tissues by a neuromuscular cord and enveloping fascia. Despite having an attached cord the testicles are relatively free floating which is a necessary feature given their location between the inner thighs. The most common Read More…

OR Snapshots – Free Floating Rib Angulation in Waistline Narrowing Surgery

Rib removal surgery for aesthetic waistline reduction is based on the premise that the free floating ribs provide support to the lateral waistline. Thus removing them would allow the waistline to collapse/fall inward. This is conceptually true as any diagram, drawing or illustration of the lower end of the rib cage for ribs #11 and Read More…

OR Snapshots – Intraoperative Modification of Custom Cheek Implants

Custom designed implants have provided completely new types of facial augmentation effects not thought previously possible. This is particularly true in the cheek area where various oval-shaped implant styles are available as standard options. These create malar-submalar fullness over the anterolateral aspect of the cheekbone often called an ‘apple cheek’ effect. But such an aesthetic Read More…

OR Snapshots – The Anatomy of the Floating Ribs in Waistline Narrowing Surgery

The lowest end of the rib cage is known as the floating ribs. (#s 11 and 12) A rib is defined as floating if its end is not attached to either another rib above it (like #10) or to the sternum. (like ribs # 6, 7 or 8) In rare cases rib #10 may also Read More…

OR Snapshots – Contemporary Replacement of Legacy Cheek Implants

Facial implants, like every other surgical technology, has evolved over the years. From surgical methods to place them to the actual implant shapes, what we use today is understandably different from what was done decades ago. Every now and then this becomes evident when treating an ‘older’ patient, who often presents for facial rejuvenation today, Read More…

OR Snapshots – The Submentoplasty Approach To Treating The Double Chin Problem

Neck contouring is a frequently requested procedure whether due to age-related sagging or congenital fullness. The desired contour of the neck as seen in profile is defined by the cervicomental angle. While people have a 90 degree cervicomental angle or can even ever achieve it, a neck angle in the 100 to120 degree range is Read More…

OR Snapshots – The Plastic Surgery Strategy of Diametric Facial Reshaping

Facial reshaping is both a patient’s aesthetic goal as well as a surgical strategy. Patient goals are often stated, as an example, of desiring slimmer or more defined facial features. Patients may have some idea as to what procedures may help achieve that effect but may not know all their options nor how they work Read More…