Category: plastic surgery case study | rhinoplasty

Plastic Surgery Case Study – Secondary Nasal Augmentation of the Short Nose with ePTFE Implant and Cartilage Grafts

Background: Augmentation rhinoplasty can be done using either synthetic implants or autologous cartilage grafts. Each approach has its distinct advantages and disadvantages and debates have existed amongst rhinoplasty surgeons for decades about the merits of each approach. But around the world the most common method of augmentation rhinoplasty probably used is with an implant for Read More…

Plastic Surgery Case Study – Male Unilateral Brow Bone Reduction For Asymmetry

Background: The brow bones are seen as the protrusions above the eyes that many assume are made up of solid bone. But that is only true for the outer calfs or tail of the brow bones. Half of the brow bones, the inner half on each side, is composed mainly of air because their shape Read More…

Plastic Surgery Case Study – Combined Sagittal Crest Skull Reduction and Custom Forehead Implant Augmentation

Background: One of the features of the male forehead is that it has a more backward slope than that of a female. How much of a backward slope that is acceptable is a matter of personal preference. But the location of the frontal hairline can influence the appearance of the forehead slope in profile. The Read More…

Plastic Surgery Case Study – Skull Reshaping with Custom Skull Implant For Flat Back Of Head

Background: The skull is prone to deformational forces during its development which can adversely affect its shape. While these effects can occur anywhere on the five surfaces of the skull they are most commonly seen on the back of the head. This is probably due to the neonate’s head’s position in utero and most certainly Read More…

Plastic Surgery Case Study – Comprehensive Vertical Orbital Dystopia Correction With A Six Step Approach

Background: When evaluating facial asymmetries I divide them into two basic types, craniofacial and aesthetic. Some many view this distinction as minor vs major but the terms craniofacial and aesthetic is more meaningful as it differentiates how they are treated. Major facial asymmetries are often syndromic (e.g., hemifacial microsomia), usually involve earlier intervention in childhood Read More…

Plastic Surgery Case Study- Forehead Masculinization Using A Custom Brow Bone Implant Placed Through A Triangulated Incisional Technique

Background: The one primary feature that separates the male forehead from that of the female is the presence of visible brow bone mounds/protrusions. Males have these inferior forehead prominences and the suprabrow break above them that creates this uniquely male forehead shape. Occasionally some females will be seen with brow bone prominences but they are Read More…

Plastic Surgery Case Study – Retro Hairline Incision for Direct Osteoma Removal At The Lateral Temporal Line Of The Forehead

Background: Osteomas are the most common benign bony masses of the forehead. Their fixed firm location with the scalp above to slide back and forth over it confirms the diagnosis and radiographic imaging assessment is not usually needed. Removal of forehead osteomas can be done by direct, hairline or retro hairline approaches. Once into the Read More…

Plastic Surgery Case Study – Secondary Male Augmentation Rhinoplasty with Rib Grafts

Background: Rhinoplasty is fundamentally about reshaping the structural support of the nose. This can be done for an overall reduction in size or shape, an overall augmentation of the dorsocolumellar support or some combined of both. In reduction rhinoplasty the postoperative adaptation of the enveloping skin has a major role in the result. Conversely in Read More…

Plastic Surgery Case Study – Custom Jawline Implants For Correcting Asymmetries/Irregularities After V Line Surgery

Background: V line surgery is a popular form of lower facial reshaping focusing on reducing the size of the lower jaw. It is essentially a removal of the inferior border of the lower jaw from the jaw angles up to the chin. The chin is then reshaped by various forms of t-shaped osteotomies to narrow Read More…

Plastic Surgery Case Study – Female Medpor Chin Implant Replacement with a Custom Chin Implant

Background: While chin implants are commonly performed on both men and women, that does not mean they should be performed in an identical manner. In that regard I am not referring to the surgical technique to place them. Rather I am referring to the implant style and size chosen for the different genders. I think Read More…