Category: OR snapshots | skull reshaping

OR Snapshots – Parietal Eminence Skull Reduction Using A Direct Vertical Scalp Incision

Reduction of various skull areas can be done throughout the entire external cranial surface. Almost always these are on naturally flatter or curved areas that are seen as too convex or prominent. This can be due to overgrowth in one specific area (e.g., sagittal crest or occipital knob) or of an entire cranial surface. (e.g., Read More…

OR Snapshots – The Open Wedge Vertical Lengthening Bony Genioplasty

The most common chin deficiency is that of a horizontal recession. This is evidenced by the many chin implant styles of which almost all of them provide horizontal augmentation of various amounts. The second type of chin deficiency which is far less common is that in the vertical dimension. Vertical chin deficiencies may exist in Read More…

OR Snaphots – The Fat Pads of Lower Blepharoplasty Surgery

Lower eyelid bags are a well recognized facial feature that is typically associated with looking tired and/or being older. Appearing as ballooned lower eyelids they are one of the easily seen of all aesthete eyelid deformities with a convex rather than a concave lower eyelid shape. While there may be a skin component to lower Read More…

OR Snapshots – Posterior Temporal Reduction for Improved Fitting of Eyeglasses and Migraine Relief

One very highly successful skull reshaping procedure is that of temporal reduction. Done to reduce the width or convexity on the side of the head, it achieves its effect by removal of part or all of the posterior temporal muscle. It is performed through an incision behind the ear in the postauricular sulcus which provides Read More…

OR Snapshots – Removal of Medpor Cheek Implants

Medpor or porous polyethylene is one of the most common facial implant materials used. It is distinguished by having a significant or fierce soft tissue adherence to it. While this poses some challenges to revising or removing such implants, this should not be confused with impossible. A difficult task should not be mistaken for not Read More…

OR Snapshots – Injectable Bone Cement Surgery For A Forehead Dent

The most prominent shape on the forehead is that of the brow bones. (in men) Otherwise the surface of the forehead is relatively smooth. Because of the large surface area of the forehead, occupying one third of the face, any changes in its surface topography can be very visible. Whether it is a raised area Read More…

OR Snapshots – Perfusion Hole Tissue Ingrowth in a Custom Forehead Implant

Custom implants made from the patient’s 3D CT scan are the most effective method of aesthetic skull augmentation. Whether it is the forehead, back of the head, temporal areas or top of the skull, covering large skull surface areas with a desired and smooth shaped implant requires a thoughtful preoperative design process. At the very Read More…

OR Snapshots – The Color Differences in the Fat Pads Seen in Transconjunctival Lower Blepharoplasty

The eyes are one of the first facial areas that are affected by aging. Excess skin, fullness from fat herniation and skin wrinkles are the typical manifestations of the periocular aging process. Because of the movement differences the upper and lower eyelids present somewhat different aging issues. The upper eyelid, because of its greater movement, Read More…

OR Snapshots – Eyelid Incisions for Custom Brow Bone Implant Placement

Augmentation of the brow ridges can be done by a variety of techniques. Injectable fillers is the non-surgical approach and, while it can be effective, their effects will be temporary. Fat injections offer a minimally invasive surgical method but how well the fat survives and whether it will be smooth is unpredictable. While both injectable Read More…

OR Snapshots – Facial Fat Injection Concentration by Gravity Separation (Decanting)

Fat transfer is tremendously popular as a material option for facial voluminization. Almost any patient has adequate donor material and as an autologous graft there are no real medical downsides to using it. The face is a well vascularized recipient site so, in theory, injected fat should survive well. But as we all know such Read More…