Category: cheek implants | OR snapshots

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…

OR Snapshots – Subnasal Lip Lift with Lateral Vermilion Advancements

The long upper lip is seen as a sign of aging or facial disproportion. It is rarely perceived that a long upper lip is a flattering facial feature. Some people have a naturally longer lip, as judged by the distance between the nose and the cupid’s bow region of the lip, while others have seen Read More…

OR Snapshots – Secondary Rhinoplasty for Correction of Pollybeak Deformity

Rhinoplasty can have a wide variety of pleasing aesthetic effects. But there are also some undesirable nose shape changes that can occur particularly in the tip area. The tip of the nose is prone to the greatest number of undesired aesthetic changes from surgical manipulation because of its unique anatomic composition. It is the union Read More…

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 – The Marginal Mandibular Facial Nerve Branch and Chin and Jawline Implant Surgery

The anatomy of the marginal mandibular branch of the facial nerve crosses from beneath the platysma muscle in the neck up across the side of the chin to innervate multiple lower lip and chin muscles. It causes the action of the lip depressor muscles (labii inferiors and angle oris) as well as that of mentalis Read More…