Category: OR snapshots | skull reshaping

OR Snapshots – Intraoperative Reshaping of a Custom Skull Implant

Custom skull implants provide one of the most effective methods to treat a side variety of head shape abnormalities. Made from a 3D CT scan they provide a preoperative design that hopefully adequately addresses the patient’s aesthetic head shape concerns. Because of their custom design, most cases do not require any intraoperative adjustment for either Read More…

OR Snapshots – Nostril Narrowing in the African-American Rhinoplasty

The African-American rhinoplasty typically consists of several basic maneuvers to change the shape of the nose. Augmenting a low nasal bridge, lifting/narrowing and strengthening the nasal tip and narrowing the nostrils serve as the typical foundation for this type of rhinoplasty. When done together an uplifted and more narrow nose can be created. While the Read More…

OR Snapshots – The Cap Graft in Open Rhinoplasty

Rhinoplasty surgery is an osteocartilaginous operation, meaning changes are made to the bone and cartilage supporting structures. Ultimately the final aesthetic results is in how these changes are done and how much they show through the overlying skin as it shrinks and contracts around the reshaped nasal framework. Such osteocartilaginous framework changes can be done Read More…

OR Snapshots – The Extended Arch Cheek Implant for the High Cheek Augmentation Look

The zygomatic arch is the thin section of bone that connects the main body of the cheek (zygoma) with that of the skull. (temporal skull) Thus it is formed by the zygomatic process of the temporal bone that comes forward to meet with the temporal process of the cheekbone. They meet in the middle to Read More…

OR Snapshots – Intraoperative Adjustment of Custom Jawline Implants

A custom jawline implant design is based on an artistic and experienced assessment of the patient’s goals and what implant dimensions are felt that may accomplish them. It is not an exact science and can not calculate in how the overlying soft tissues will respond. This is relevant both aesthetically as well as potentially impacting Read More…

OR Snapshots – Submental Incision Location in Custom Jawline Implants

A wrap around jawline implant that has been custom made is the best method for augmenting the skeletal lower third of the face. It does so because of the surface area that it covers, expanding the skeletal contours of the lower third of the face. Like all implants in the face and body, its augmentation Read More…

OR Snapshots – Screw Fixation of Standard or Custom Cheek Implants

While cheek implants are of the most commonly performed synthetic facial augmentation procedures, they are unique in several ways. One of their unique features is that they are typically placed in an upward direction from below (intraoral) and are positioned essentially ‘on the side of a clift’ so to speak. Laying up against the prominence Read More…

OR Snapshots – Treating Forehead Contour Irregularities by Fat Injections

The shape of the forehead can be augmented using multiple techniques. The two most common and successful methods are the use of bone cements and a custom 3D implant. Each of these two approaches can be very effective although the custom implant approach can be done using a smaller incision with an assured smooth and Read More…

OR Snapshots – Scalp Incision Location for Custom Occipital Skull Implants

Correction of flat and asymmetric back of the head deformities is unequivocally best done with a custom skull implant. Made from the patient’s 3D skull CT scan, the outline of the skull augmentation needed and the point of maximal projection and symmetric shape can be best achieved. With a preformed skull implant, like any other Read More…

OR Snapshots – The Columellar Strut Cartilage Graft in Open Rhinoplasty

Open rhinoplasty continues to be the most effective approach in a large number of nose reshaping patients. There is no question that the visualization provided to many of the critical structural elements that need to be modified creates the best opportunity to achieve the desired changes in a predictable manner. The tradeoffs to do so, Read More…