Category: custom facial implants | orbital reconstruction | orbital rim implants | plastic surgery case study

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…

Plastic Surgery Case Study – Large Male Custom Jawline Implant Result

Background: Chin implants are the most common facial augmentation procedure and has been so for over half a century. It is easily the most visible part of the lower face and weaknesses of it adversely affect one’s profile and the appearance of the shape of the neck. Because of the powerful aesthetic effect of chin Read More…

Plastic Surgery Case Study – Secondary Custom Jaw Angles Implants After Prior Chin Implant Augmentation

Plastic Surgery Case Study – Direct Transcutaneous Repair of Masseteric Muscle Dehiscence and Heterotopic Bone Removals

Background: Aesthetic manipulation of the jaw angle region, whether for implant placements or bone cutting work, involves elevation of the large enveloping masseter muscle. It is the insertion of the muscle along the inferior and posterior border that often must be elevated to perform the various procedures. The extent of this muscle elevation depends on Read More…

Plastic Surgery Case Study – Secondary Buccal Fad Pad Removals After ‘Failed’ Primary Buccal Lipectomies

Background: The buccal lipectomy is the most well known soft tissue cheek reduction procedure. While once deemed as an unapprorpiate facial reshaping procedure years ago it is now very popular amongst patients and surgeons alike. Its common performance is due to the effect of the en bloc removal of a discrete facial fat collection as Read More…