Category: plastic surgery case study | shoulder reduction

Plastic Surgery Case Study – Mid-Shaft Bone Resection in Clavicle Reduction Shoulder Narrowing Osteotomies

Background: The clavicle is composed of three differently shaped bone segments. There is an inner mid shaft segment which is straight and there is inner and outer bone segments that have reverse curved shapes. The lengths of each bone segment are roughly equal. While their bone lengths are roughly equal their thicknesses are not.The inner Read More…

Plastic Surgery Case Study – Secondary Occipital Scalp Roll Excision with Central Bony Ridge Reduction

Background: At the interface of the bottom end of the skull on the back of the head (inferior edge of occipital bone) is the upper neck. This is where the thick neck muscles and fascia attach to the bone. Because of this location the skull bone and neck soft tissues are thickest at this interface. Read More…

Plastic Surgery Case Study – Large Soft Tissue Jaw Angle Implants for Masseteric Muscle Dehiscence Correction

Background: Surgery of the bony jaw angles is unique from other parts of the lower jaw due to the large masseter muscle that lies over it. The posterior-inferior border of the jaw angles serve as the focused insertion point of the masseter muscle from its broad origin along the zygomatic body and arch. This insertion Read More…

Plastic Surgery Case Study – Cis-Female Shoulder Narrowing Surgery with Asymmetry Correction

Background: Shoulder narrowing surgery is commonly performed in transfemale and thus is often perceived as an exclusive transgender surgery. But in reality it is an aesthetic structural body contouring surgery that can be performed on anyone regardless of their gender identity. There may be slightly different motivations for undergoing the surgery, whether it is a Read More…

Plastic Surgery Case Study – Shoulder Narrowing Clavicle Reductions vs Clavicle Fractures

Background: Removing a segment of the clavicle allows an obvious inward movement of the shoulders with the loss of its bone length. Because it is the collarbone such reduction osteotomies are often thought of as fractures…a well known traumatic bone injury of the clavicle. But understanding how a clavicle osteotomy is different than a fracture Read More…

Plastic Surgery Case Study – Secondary Male Brow Bone Reduction by Bone Flap Setback

Background: The appearance/size of the brow bones is a forehead feature that is usually very gender specific. Prominent brow bones is a verydistinct male trait and serves as the basis for why forehead reshaping is one of the most common facial feminization surgery procedures. Often lost in this surgery is that brow bone reductions are Read More…

Plastic Surgery Case Study – Type 1 Rib Removals Combined with Shoulder Narrowing for Body Feminization

Background: Structural waist reduction is synonymous with rib removal surgery. It is the next and last step beyond traditional soft tissue body contouring procedures. Rib removal exerts its effects by the combination of bone mass removal and the loss of thoracoabdominal muscle attachments. This allows the waistline to fall inward. How much it does so Read More…

Plastic Surgery Case Study – Upper Face Masculinization with Custom Forehead-Brow Bone Implant

Background: While facial feminization surgery (FFS) is now a recognized niche area of plastic surgery its counterpart, facial masculinization surgery (FMS) ,is less well known. While it has long been done in a limited fashion with some standard procedures. (e.g., chin augmentation) other procedures to specifically masculinize the face are less frequently performed or are Read More…

Plastic Surgery Case Study – Combined Horizontal and Vertical (45 Degree) Sliding Genioplasty

Background: The sliding genioplasty is a well known autologous form of chin augmentation. It is not as commonly performed as chin implants as it is a more invasive and has less controlled dimensional changes. But for the patient who wishes to avoid an implant it is the only other option an d has not long Read More…

Plastic Surgery Case Study – Multi-Level Ligations of Type 1 Prominent Temporal Arteries

Background: Prominent temporal arteries are an aesthetic issue that is the direct result of an abnormally enlarged but normal structure. Every one has a temporal branch off of the carotid artery which ascends vertically into the hair-bearing temporal region and then splits into a Y configuration. (now called the superficial temporal artery or STA) At Read More…