Category: OR snapshots | rhinoplasty

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…

OR Snapshots – Rib Graft Tip Rhinoplasty for Increased Tip Definition and Projection

Tip projection is an important part of the nasal shape that can be changed in tip rhinoplasty surgery. Tip projection is different than tip rotation as the former pulls the tip of the nose away from the face while the latter changes the axis of the tip point around the sagittal plane of the face. Read More…

OR Snapshots – The Lateral Orbital Rim Implant

Augmentation of the bones of the face can be done for a wide variety of aesthetic purposes. This serves as the foundation for the most common sites for implant placement of the chin, cheeks, jaw angles, nose and infraorbital rims. But just because a performed implant does not exist for other facial sites does not Read More…

OR Snapshots – Intraoperative Shaping of ePTFE Nasal Implants

Significant nasal augmentation is needed in certain ethic aesthetic rhinoplasties as well as in reconstruction of saddle nose deformities that have occurred for a variety of reasons. To be effective such augmentations requires the material needed to do it. In most cases the augmentation material of choice comes down to either a rib graft or Read More…

OR Snapshots – Popliteal Skin Incisions for Calf Implants

There are numerous reasons patients seek calf augmentation. The desire for a more muscular calf appearance in an otherwise normal but thin calf and improvement in congenital or traumatic calf asymmetry are the most common patients that seek calf augmentation. The only assured method to achieve such calf size improvements is with the use of Read More…

OR Snapshots – The Ultimate Buttock Reshaping Makeover

Aesthetic buttock surgery has evolved over the past four decades into a wide variety of reshaping procedures available today. Historically only excisional procedures for removing excess tissue at the top or bottom of the buttocks existed. Implants became available in the 1990s but they remained used in the U.S by only a handful of patients. Read More…

OR Snapshots – Resorbable Lag Screw Fixation of Sliding Genioplasty

The sliding genioplasty is the most well known bony reshaping procedure of the chin. It gets its name because of how it was historically described and fixed. An obliquely horizontal bone cut is made at an angle that stays below the anterior tooth roots and the mental nerve foramen. The downfractured chin bone segment was Read More…

OR Snapshots – Subfascial Placement of Temporal Implants

The one permanent and often most effective treatment for temporal hollowing is an implant approach. Temporal implants offer a smooth and volume-assured method for building out the anterior temporal aesthetic zone next to the eye. Of all the facial implants, it is the only one that augments muscle, not bone, and is very straightforward to Read More…

OR Snapshots – Chin Asymmetry Correction by Shifting Bony Genioplasty

Asymmetry of the chin is not uncommon and has various causes. Fundamentally it can be either due to how jaw has developed along its two sides with the chin at its end reflecting the difference between the two sides or can be directly due to asymmetry of the chin bone itself. That diagnosis is very Read More…

OR Snapshots – Intramuscular Placement of Buttock Implants

Implants are the treatment option for buttock augmentation when either fat grafting has failed or there are insufficient fat donor sites to adequately do the procedure. Even though buttock implants offer an assured volume, fat grafting should be considered first if there us adequate fat to harvest. Very similar to breast implants, buttock implants have Read More…