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Double Occipital Scalp Roll Excision Case Study

Introduction Scalp roll excision is a minor surgical procedure used to remove a redundant fold or “roll” of skin at the back of the scalp or upper neck—most commonly in the occipital/posterior neck area. What it treats Prominent horizontal scalp or neck rolls Skin redundancy after weight loss Excess tissue following prior neck or scalp Read More…

Forehead Horn Reduction Case Study

Introduction Forehead horn reduction is a surgical contouring procedure designed to reduce a localized bony prominence of the frontal bone that can resemble a horn or knob. These prominences have a very characteristic location in the upper lateral region of the forehead and most commonly appear bilaterally. Patients typically seek treatment for cosmetic reasons, particularly Read More…

Subcostal Rib Flare: Evaluation and Surgical Correction

Introduction Subcostal rib flare refers to a visible or palpable outward angulation of the lower ribs—typically ribs 7 through 10—along the subcostal margin where the rib cage meets the upper abdomen. It is most commonly perceived as a protrusion beneath the chest, particularly when viewed from the front or side. Clinical Appearance Patients often describe Read More…

Surgical Techniques in Standard Rib Removal Surgery

Rib removal surgery typically refers to partial resection of the floating ribs (11th and/or 12th ribs) and sometimes the 10th rib to reduce lower waist width or to improve contour.  In aesthetic surgery patient selection it is highly selective. Common Indications Aesthetic Lower waist narrowing when skeletal width is dominant Adjunct to abdominoplasty, liposuction, or Read More…

Custom Pectoral Implant Design and Replacement – Case Study and Revision Considerations

Introduction Custom pectoral implants are patient-specific chest implants designed to enhance or restore the size, shape, and symmetry of the pectoral region. They are most commonly used in men seeking a more defined, athletic chest or correction of congenital or acquired asymmetry. Benefits of Custom Implant Design for Pectoral Augmentation CT-based design and preoperative controlThree-dimensional Read More…

Occipital Bun Reduction with Scalp Roll Excision Case Study

Introduction An occipital bun is a rounded overgrowth of the occipital bone at the back of the skull. This produces an exaggerated posterior curvature that disrupts the normal, smooth convex contour of the back of the head when viewed in profile. It represents a normal anatomic variant of skull development rather than a true bony Read More…

Custom Brow Bone Feminization Reversal -Case Study

Introduction A custom brow bone implant is a patient-specific facial implant designed to enhance or reconstruct the supraorbital rims (brow ridges). Aesthetically, it is most commonly used for facial masculinization or for correction of flat or recessed brows. With the growing popularity of facial feminization surgery (FFS), custom brow bone implants have also become an Read More…

Square Chin Implants in Men: Design Pitfalls and the Role of Custom Revision

Introduction Men frequently request a squarer, more angular chin when undergoing chin implant augmentation. While there is a standard “square” chin implant design intended to meet this goal, it is often an imperfect solution. In many cases, aesthetic failure occurs due to inherent design limitations and technical placement issues. Common Failure Modes of Standard Square Read More…

Custom Jaw Angle Implant Overlay After TMJ Replacements for Facial Asymmetry Correction Case Study

Introduction Total temporomandibular joint (TMJ) replacement is a surgical procedure in which a damaged jaw joint is replaced with a biocompatible prosthesis to relieve pain and restore function when conservative treatments have failed. It is most commonly indicated for severe degenerative joint disease, including osteoarthritis and rheumatoid arthritis, as well as advanced joint destruction, deformity, Read More…

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