Category: facial fractures | OR snapshots

OR Snapshots – The Posterior Maxillary Buttress in Cheek Bone Fracture Repair

Cheek bone fractures are one of the common types of facial fractures. Often caused by blows to the face from sporting activities to fisticuff interactions there is a predicable pattern to how the bone is displaced. Anatomically the cheekbone is a projecting facial structure that is supported by its three primary bony legs over an Read More…

OR Snapshots – Subtotal Rib Removal for Waistline Narrowing

Narrowing the waistline through surgery is most commonly done by two procedures. Liposuction works best when there is excessive fat such as having muffin tops or love handles. A tummy tuck can have a horizontal waistline effect but it is an operation whose tissue is greatest in the vertical not the horizontal direction. But without Read More…

OR Snapshots – Intraoral ORIF of Parasymphyseal Mandibular Fracture with Mental Nerve Preservation

Fractures of the lower jaw or mandible are one of the most common types of facial bone injuries. Based on the point of contact along the jawline and the amount of force it encounters, jaw fractures will often have standard patterns of how the bone breaks. A parasymphyseal mandible fracture occurs between the chin and Read More…

OR Snapshots – Anterior and Posterior Temporal Implants for a Total Head Widening Effect

Head width refers to the bitemporal diameter above the ears at the side of the head. Technically this is posterior temporal width. This is different than anterior temporal width which refers to the correction of a hollowing or a concave shape. The relevance of head width has come more into play these days as more Read More…

OR Snapshots – The Interpositional Graft Technique in Otoplasty Reversal Surgery

The most common form of otoplasty surgery is for the correction of protruding ears. This type of cosmetic ear surgery has been around for more than a century and has evolved to being a primarily cartilage reshaping technique. When setting the ear back, or decreasing the auriculocephalic angle, it is an intraoperative judgement call as Read More…

OR Snapshots – Pediatric Forehead Laceration Repair from Dogbite Injury

Facial lacerations are common and are caused by a variety of mechanisms. One well known cause is that of dog bites, particularly in children. Their smaller size and natural lack of caution around animals can create unfortunate opportunities for such accidents to occur. Children are particularly prone to dogbite injuries to the face. Canine (dog) Read More…

OR Snapshots – The Jack O’Lantern Scalp Incision for Custom Skull Implant Placement

On Halloween today I was performing a custom skull implant for a female for crown skull augmentation and the pattern of the scalp incision used looked familiar and appropriate for this day. The scalp incision seemed similar to that of a Jack O’Lantern’s smile. Its irregular and jagged appearance was reminiscent of a shape Read More…

OR Snapshots – The Transconjunctival Lower Blepharoplasty

Blepharoplasty is a broad term that implies an aesthetic procedure to the upper or lower eyelids. As a cosmetic procedure it has its origin in the treatment of the aging older eyelid where skin and fat removal are done in a more complete blepharoplasty surgery. But the earliest signs of aging around the eyes are Read More…

OR Snapshots – From Chin Implant to Custom Jawline Implant

The traditional approach to jaw augmentation has been a chin implant for many decades. Bringing the front part of the lower jaw forward is the common perception of improving the contour of the lower third of the face. Chin augmentation is commonly performed in young patients and is also often part of a facelift in Read More…

OR Snapshots – Rib Removal Surgery Explained

Rib removal surgery is done for a variety of waistline slimming patients. One such patient is the already thin female who can not get a slimmer waistline by diet, exercise or even liposuction surgery. The lower ribs represent the last anatomic barrier for any further waistline reduction.The second type patient is the transgender male to Read More…