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Subcostal Subtotal Rib Prominence Reductions in a Male Case Example

Prominent lower ribs that project outward beneath the breast crease or upper abdominal area, can be treated by rib shaving (rib contouring) to reduce their flared appearance. When rib shaving may help Rib contouring is most effective when: The lower costal margin (typically ribs 8–10) is excessively prominent. The flare is due to actual rib Read More…

Custom Secondary Occipital Skull Extension Implant Case Example

A custom back-of-the-head skull implant (occipital skull implant) is a patient-specific implant designed to increase the projection, width, or symmetry of the posterior skull. It is commonly used for: Flat back of the head (occipital flattening) Congenital skull shape deficiencies Asymmetric occipital skull contours Secondary correction after previous cranioplasty procedures Design Process Obtain a high-resolution Read More…

Combining XL Custom Pectoral Implants with Standard Bicep Implants Case Example

Pectoral and biceps implants are a logical combination for male upper body augmentation and can be performed during the same operation in an appropriately selected patient. The advantages of combining them include: One anesthesia event One recovery period Better overall upper-body proportionality and contour enhancement Lower total cost compared with staging the procedures separately However, Read More…

The Role of the Dopper in Ligation of Temporal Artery Prominences Case Example

In temporal artery ligation procedures (most commonly for treatment of prominent superficial temporal artery branches, a Doppler ultrasound probe plays an important localization role. Roles of the Doppler 1. Preoperative Vessel Mapping Handheld Doppler identifies the exact course of the superficial temporal artery and its frontal and parietal branches should it not be easily visible Read More…

Shaving of Ribcage Protrusions – Concept and Case Example

What Does Rib Shaving Mean? Shaving of ribcage protrusions is a surgical contouring procedure in which a prominent portion of a rib or ribs is reduced through excision of its outer convexity through bone or cartilage removal rather than removing the entire rib segment. Typically this is done for protrusions of the costal or cartilage-comprised Read More…

Secondary Dorsal Implant After Inadequate Rib Graft Augmentation Rhinoplasty

Nasal dorsal augmentation involves increasing the height and/or improving the contour of the nasal bridge (dorsum). It is a common component of rhinoplasty, particularly in patients with a low or flat nasal bridge or an irregular dorsal contour. Common Indications Low nasal bridge (common in many Asian, African, or revision rhinoplasty patients) Saddle nose deformity Read More…

Dermal-Fat Graft for Steroid Induced Glabellar Soft Tissue Defect Case Example

Soft tissue atrophy is a known complication of corticosteroid (steroid) injections, especially when they’re placed superficially or repeatedly in the same area. What it is: It’s a localized loss or thinning of subcutaneous fat and sometimes skin, leading to a visible depression or “dent” at the injection site. Why it happens: Corticosteroids can: Inhibit fibroblast Read More…

Transfemale Breast Augmentation Case Example

Breast augmentation in transfeminine (transfemales / trans women) patients is a well-established procedure, but it has some important differences from augmentation in cisgender women due to anatomical and hormonal factors. 1. Background: Hormone Therapy First Most transfeminine patients undergo estrogen-based hormone therapy before considering surgery. This: Promotes natural breast development (often A–small B cup) Helps Read More…

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